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1 STATE OF OKLAHOMA
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2 1st Session of the 60th Legislature (2025)
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3 SENATE BILL 907 By: Rosino
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6 AS INTRODUCED
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7 An Act relating to the practice of pharmacy; defining
7 terms; authorizing product fulfillment through
8 central fill pharmacies under certain conditions;
8 listing powers and duties of pharmacist-in-charge;
9 providing certain limitations on filling of
9 prescriptions; requiring certain patient notification
10 by originating pharmacy; requiring provision of
10 certain information to patients; providing exception;
11 imposing certain duties on central fill pharmacy;
11 requiring maintenance of certain policy and procedure
12 manual; specifying certain product verification
12 responsibilities; requiring certain maintenance of
13 records; requiring certain application and fee;
13 authorizing certain shared services; requiring
14 licensure; specifying qualifications for shared
14 services; imposing certain requirements on retail
15 pharmacy engaged in shared services; providing for
15 codification; and providing an effective date.
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18 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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19 SECTION 1. NEW LAW A new section of law to be codified
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20 in the Oklahoma Statutes as Section 353.31 of Title 59, unless there
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21 is created a duplication in numbering, reads as follows:
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22 A. As used in this section:
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Req. No. 888 Page 1
1 1. "Central fill" means the filling of a prescription drug
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2 order by a central fill pharmacy licensed by the State Board of
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3 Pharmacy at the request of an originating pharmacy;
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4 2. "Central fill pharmacy" means a licensed resident or non-
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5 resident pharmacy facility that, upon the request of an originating
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6 pharmacy, performs the product fulfillment of the drug order and
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7 returns the filled prescription to the originating pharmacy for
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8 delivery to the patient or patient's agent or sends it directly to
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9 the patient for non-controlled substances. A central fill pharmacy
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10 that returns filled prescriptions to an originating pharmacy shall
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11 not be required to obtain a wholesale distributor license; and
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12 3. "Originating pharmacy" means a pharmacy located in this
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13 state or out-of-state that is licensed or permitted by the state in
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14 which it is located and, upon receipt of a prescription drug order,
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15 requests a central fill pharmacy to perform the product fulfillment
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16 of the order and upon receipt of the filled prescription drug order,
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17 delivers the prescription to the patient or patient's agent.
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18 B. 1. An originating pharmacy may engage in product
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19 fulfillment with a central fill pharmacy if the pharmacies:
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20 a. have the same owner or have entered into a written
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21 contract or agreement that outlines the services to be
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22 provided and the responsibilities and accountabilities
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23 of each pharmacy in compliance with federal and state
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24 laws and regulations,
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Req. No. 888 Page 2
1 b. share a common electronic file or have appropriate
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2 technology to allow access to sufficient information
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3 necessary or required to dispense or process a
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4 prescription drug order,
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5 c. ensure all state and federal laws regarding patient
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6 confidentiality, network security, and use of shared
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7 databases are followed, and
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8 d. maintain the prescription information in a readily
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9 retrievable manner.
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10 2. The pharmacist-in-charge of a central fill pharmacy:
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11 a. shall ensure that the pharmacy maintains and uses
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12 adequate storage or shipment containers and shipping
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13 processes to ensure drug stability and potency. Such
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14 shipping processes shall include the use of
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15 appropriate packaging material or devices, or both, to
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16 ensure that the drug is maintained at an appropriate
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17 temperature range to maintain the integrity of the
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18 medication throughout the delivery process,
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19 b. shall ensure that the filled prescriptions are shipped
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20 in containers that are sealed in a manner that would
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21 show evidence of having been opened or tampered with,
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22 and
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23 c. may employ auxiliary supportive personnel to assist in
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24 non-dispensing functions such as inventory, delivery,
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Req. No. 888 Page 3
1 receiving, or packing of completed prescription
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2 orders.
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3 3. Controlled substance prescriptions filled by a central fill
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4 pharmacy shall comply with both state and federal laws and
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5 regulations.
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6 4. To the extent a pharmacy is acting as a central fill
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7 pharmacy, the pharmacy shall not fill prescriptions provided
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8 directly by a patient or an individual practitioner.
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9 C. 1. An originating pharmacy that engages in prescription
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10 filling by a central fill pharmacy shall, prior to the dispensing of
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11 the prescription:
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12 a. notify patients that their prescription may be filled
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13 by another pharmacy, and
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14 b. provide the name of that pharmacy or notify the
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15 patient if the pharmacy is part of a network of
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16 pharmacies under common ownership and that any of the
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17 network pharmacies may fill the prescription.
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18 2. Patient notification may be provided through a one-time
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19 written notice to the patient or through use of a sign in the
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20 pharmacy.
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21 D. 1. A central fill pharmacy that delivers prescriptions
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22 directly to a patient shall provide written information regarding
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23 the prescription with the filled prescription.
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1 2. A pharmacist at the originating pharmacy shall offer the
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2 patient or the patient's agent information about the prescription
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3 drug or device in accordance with Board rules.
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4 3. This subsection shall not apply to patients in facilities
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5 including, but not limited to, hospitals or nursing facilities,
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6 where drugs are administered to patients by a person authorized to
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7 do so by law.
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8 E. The central fill pharmacy shall:
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9 1. Place on the prescription label:
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10 a. the name and address of the originating pharmacy which
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11 receives the filled prescription for delivery to the
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12 patient or the patient's agent, and
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13 b. in some manner indicate which pharmacy filled the
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14 prescription;
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15 2. Comply with all other labeling requirements of federal and
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16 state law; and
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17 3. Be exempt from signage requirements intended for patients.
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18 F. A central fill policy and procedure manual shall be
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19 maintained at both pharmacies and shall be available for inspection.
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20 The originating and central fill pharmacies shall maintain only
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21 those portions of the policy and procedure manual that relate to
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22 that pharmacy's operations. The manual shall at minimum contain:
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23 1. An outline of the responsibilities of the central fill
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24 pharmacy and the originating pharmacy including, but not limited to:
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1 a. confidentiality and integrity of patient information
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2 procedures,
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3 b. drug utilization review,
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4 c. counseling responsibilities,
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5 d. policies for operating a continuous quality
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6 improvement program for pharmacy services designed to
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7 objectively and systematically monitor and evaluate
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8 the quality and appropriateness of patient care,
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9 pursue opportunities to improve patient care, and
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10 resolve identified problems,
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11 e. safe delivery of prescriptions to patients,
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12 f. requirements for storage and shipment of prescription
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13 medication, and
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14 g. procedures for conducting an annual review of written
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15 policies and procedures and for documentation of this
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16 review; and
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17 2. Other responsibilities regarding proper handling of a
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18 prescription and delivery to a patient or a patient's agent pursuant
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19 to federal and state controlled substances laws and regulations.
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20 G. The pharmacist product verification responsibilities
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21 provided by paragraph 2 of subsection B of this section shall be
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22 deemed satisfied if:
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23 1. The pharmacy establishes and follows a policy and procedure
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24 manual that complies with subsection F of this section; or
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1 2. The pharmacy uses an automated system, the system is fully
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2 automated from the time the medication is stocked into the machine
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3 until a completed, labeled, and sealed prescription is produced by
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4 the system that is ready for dispensing to the patient. No manual
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5 intervention with the medication may occur after the medication is
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6 stocked into the system. For purposes of this paragraph, manual
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7 intervention shall not include preparing a finished prescription for
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8 mailing, delivery, or storage.
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9 H. 1. Records may be maintained in an alternative data
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10 retention system including, but not limited to, a data processing
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11 system or direct imaging system, if:
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12 a. the records maintained in the alternative system
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13 contain all of the information required on the manual
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14 record, and
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15 b. the data processing system is capable of producing a
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16 hard copy of the record upon the request of the Board,
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17 its representative, or other authorized local, state,
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18 or federal law enforcement or regulatory agency.
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19 2. Each pharmacy shall maintain records in accordance with
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20 federal and state laws and regulations and shall be able to produce
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21 records as requested by the Board.
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22 3. The originating pharmacy records shall include the date the
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23 request for filling was transmitted to the central fill pharmacy.
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24 4. The central fill pharmacy records shall include:
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Req. No. 888 Page 7
1 a. the date the filled prescription was mailed or
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2 delivered by the central fill pharmacy to the
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3 originating pharmacy, and
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4 b. if mailed or delivered to a patient, the name and
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5 address to which the filled prescription was shipped.
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6 I. A central fill pharmacy shall complete a pharmacy permit
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7 application provided by the Board and shall:
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8 1. Provide the name of the owner, permit holder, and
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9 pharmacist-in-charge of the pharmacy for service of process; and
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10 2. Pay the required fee as set by the Board through rule.
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11 The Board shall develop and implement a central fill permit and
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12 application under the authority granted by Section 353.18 of Title
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13 59 of the Oklahoma Statutes.
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14 SECTION 2. NEW LAW A new section of law to be codified
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15 in the Oklahoma Statutes as Section 353.32 of Title 59, unless there
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16 is created a duplication in numbering, reads as follows:
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17 A. A pharmacy may engage in shared services with another
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18 pharmacy in accordance with this section and rules promulgated by
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19 the State Board of Pharmacy including data entry, interpretation of
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20 a prescription or drug order, data entry verification, drug
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21 utilization review, product verification, centralized fulfillment
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22 under Section 1 of this act, or, when necessary, therapeutic
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23 intervention.
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1 B. Before participating in shared services, a pharmacy shall
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2 have a current Board issued resident or non-resident retail pharmacy
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3 license.
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4 C. A pharmacy may provide or utilize shared services functions
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5 only if the pharmacies involved:
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6 1. Either:
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7 a. have the same owner, or
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8 b. have a written contract or agreement that outlines the
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9 services provided and the shared responsibilities of
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10 each party in complying with federal and state
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11 pharmacy laws and rules; and
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12 2. Share a common electronic file or technology that allows
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13 access to information necessary or required to perform shared
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14 services in conformance with the Oklahoma Pharmacy Act and rules of
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15 the Board.
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16 D. A licensed retail pharmacy engaged in shared services shall:
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17 1. Maintain manual or electronic records that identify,
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18 individually for each order processed, the name, initials, or
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19 identification code of each pharmacist, intern, and pharmacy
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20 technician who took part, as authorized by rules of the Board, in
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21 the data entry, prescription or order interpretation, data entry
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22 verification, drug utilization review, product verification,
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23 centralized fulfillment, or necessary therapeutic intervention
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24 performed at that pharmacy;
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Req. No. 888 Page 9
1 2. Report to the Board as soon as practical the results of any
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2 disciplinary action taken by another state's pharmacy regulatory
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3 agency involving shared services;
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4 3. Provide adequate security to protect the confidentiality and
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5 integrity of patient information; and
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6 4. Provide access for inspection of any required record or
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7 information of any request by the Board or its designee.
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8 SECTION 3. This act shall become effective November 1, 2025.
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Req. No. 888 Page 10Every fact on this page links to its source, starting with the official bill record.