Practice of pharmacy; requiring licensure of certain out-of-state pharmacies; requiring certain inspections; providing administrative remedies and penalties. Effective date.

SB 2023 requires out-of-state pharmacies that ship drugs into Oklahoma to obtain a license from the Oklahoma State Board of Pharmacy and comply with Oklahoma's pharmacy laws, including storage and staffing rules. It mandates initial and annual on-site inspections by Oklahoma inspectors (not out-of-state agencies), with pharmacies covering inspection costs. Violations - like failing to follow storage guidelines or pharmacy ratios - can result in fines up to $50,000 per violation or permanent license revocation if not corrected within 90 days. The bill directly affects pharmacies operating across state lines, ensuring they meet Oklahoma's safety and quality standards for drug distribution.