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Code · Oklahoma · Title 36 — Insurance

§36-6060.3b. Contraceptive drug coverage.

258 words·~1 min read·/ok/title-36-insurance/36-6060-3b·

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A. As used in this section:
1. “Contraceptive drugs” means all drugs approved by the United States Food and Drug Administration that are used to prevent pregnancy including but not limited to hormonal drugs administered orally, transdermally, and intravaginally; and
2. “Health benefit plan” means a health benefit plan as defined pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes.
B. Any health benefit plan that is offered, issued, or renewed on or after the effective date of this act that offers coverage for contraceptive drugs shall provide coverage for an enrollee to obtain:
1. A three-month supply of a contraceptive drug at once the first time the enrollee obtains the drug; and
2. A six-month supply of the contraceptive drug at once each subsequent time that the enrollee obtains the same drug, regardless of whether the enrollee was enrolled in the health benefit plan the first time that the enrollee obtained the drug.
An enrollee may obtain only one six-month supply of a covered prescription drug during each six-month period.
C. Nothing in this section shall be construed to prohibit an enrollee of a health benefit plan from requesting a smaller supply or to prohibit a prescribing provider from prescribing a smaller supply if such a prescription is supported by clinical utility and medical appropriateness.
D. Nothing in this section shall be construed to require coverage under a health benefit plan for any medications that could be used to terminate an existing pregnancy. Added by Laws 2025, c. 398, § 1, eff. Nov. 1, 2025.
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