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

SB 1033 requires out-of-state pharmacies that ship drugs into Oklahoma to obtain a license from the Oklahoma State Board of Pharmacy and comply with state pharmacy laws. It mandates initial and annual on-site inspections by Oklahoma inspectors (not out-of-state agencies), with pharmacies covering inspection costs. Key violations include breaching pharmacy technician ratios, shipping abortion-inducing drugs in violation of state law, or failing to follow storage guidelines, leading to fines up to $50,000 or license revocation for non-compliance. The bill takes effect November 1, 2025.