Pharmacy Audits

Summary

It requires pharmacy benefit plans and their managers to use the same audit standards for all pharmacies, whether they are owned by the plan or independent. The bill limits how often and how many prescriptions can be audited, caps recoupment to dispensing fees, and adds clear reporting and appeal steps. It also lets the Office of Insurance Regulation fine violators and allows suspension of a pharmacy benefit manager’s registration in certain cases.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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