Mutliple Amendments Enacted During the 2025 Legislative Session

1. A. Prescribing authority shall be allowed, under the medical direction of a supervising physician, for an advanced practice nurse recognized by the Oklahoma Board of Nursing in one of the following categories: advanced registered nurse practitioners, clinical nurse specialists, or certified nurse-midwives. The advanced practice nurse may write or sign, or transmit by word of mouth, telephone or other means of communication an order for drugs or medical supplies that is intended to be filled, compounded, or dispensed by a pharmacist. The supervising physician and the advanced practice nurse shall be identified at the time of origination of the prescription and the name of the advanced practice nurse shall be printed on the prescription label.
2. B. Pharmacists may dispense prescriptions for non-controlled prescription drugs authorized by an advanced practice nurse or physician assistant, not located in Oklahoma, provided that they are licensed in the state in which they are actively prescribing.

3. C. Pharmacists may only dispense prescriptions for controlled dangerous substances prescribed by:

   1. 1. An advanced practice nurse licensed in the State of Oklahoma and supervised by an Oklahoma-licensed practitioner; or

   2. 2. A physician assistant licensed in the State of Oklahoma.

      Version 2 (Amended by Laws 2025, HB 2298, c. 340, § 6, eff. November 1, 2025)

   3. A.

      1. 1. Prescriptive authority shall be allowed, under a current supervision agreement with a supervising physician, for a licensed Advanced Practice Registered Nurse recognized by the Oklahoma Board of Nursing as a Certified Nurse Practitioner, Clinical Nurse Specialist, or Certified Nurse-Midwife who has not obtained independent prescriptive authority under Section 1 of this act.
      2. 2. Prescriptive authority shall be allowed, independent of a current supervision agreement with a supervising physician, for a licensed Advanced Practice Registered Nurse recognized by the Oklahoma Board of Nursing as a Certified Nurse Practitioner, Clinical Nurse Specialist, or Certified Nurse-Midwife who has obtained independent prescriptive authority under Section 1 of this act.
   4. B. The Advanced Practice Registered Nurse may write or sign, or transmit by word of mouth, telephone, or other means of communication an order for drugs or medical supplies that is intended to be filled, compounded, or dispensed by a pharmacist. The supervising physician, if applicable, and the prescribing Advanced Practice Registered Nurse shall be identified at the time of origination of the prescription and the name of the prescribing Advanced Practice Registered Nurse shall be printed on the prescription label.
   5. C. Pharmacists may dispense prescriptions for non-controlled prescription drugs authorized by an Advanced Practice Registered Nurse or physician assistant, not located in this state, provided that they are licensed in the state in which they are actively prescribing.

   6. D.

      1. 1. Pharmacists may only dispense prescriptions for controlled dangerous substances prescribed by an Advanced Practice Registered Nurse licensed in this state who meets the criteria in paragraph 1 or 2 of subsection A of this section.
      2. 2. Pharmacists may only dispense prescriptions for controlled dangerous substances prescribed by a physician assistant licensed in this state pursuant to a practice agreement.

Version 1 (Amended by Laws 2025, HB 2584, c. 343, § 2)

Laws 1996, SB 587, c. 186, § 2, eff. November 1, 1996; Amended by Laws 2018, SB 956, c. 106, § 2, eff. November 1, 2018 (superseded document available); Amended by Laws 2025, HB 2584, c. 343, § 2 (superseded document available); Amended by Laws 2025, HB 2298, c. 340, § 6, eff. November 1, 2025 (superseded document available).