MedicaidAdministrativeMedium impact
Provider Letter 2025-12: RE: SoonerSelect Pharmacy Split Fill Logic for Certain Medications for Oklahoma Complete Health
Oklahoma SoonerCare·OK·Pharmacy
Effective date
May 1, 2025
We identified it
Jun 20, 2026
Summary
Oklahoma Complete Health (Medicaid managed care) is implementing split fill logic for new-to-therapy pharmacy claims to reduce medication waste during the initial 90 days of treatment. This affects how prescriptions are dispensed for OCH members starting new medications.
Action Required
Before May 1, 2025: Inform providers and pharmacy staff that Oklahoma Complete Health members starting new medications may receive split fills during the first 90 days of therapy. Update patient education materials to explain this new dispensing process. Contact OCH at 833-752-1664 for specific questions about implementation.