760 IAC 5-3-2 - Limitations
Authority: IC 27-1-24.5-20
Affected: IC 27-1-24.5-22
Sec. 2.
(a) A
pharmacy benefit manager may cause an audit to occur at a particular pharmacy
location not more than one (1) time per calendar year. However, if the audit
results in a finding of material noncompliance at the pharmacy, the pharmacy
benefit manager or auditor may return within the calendar year to determine
ongoing compliance.
(b) An
independent auditor that conducts an audit on behalf of a pharmacy benefit
manager may conduct an audit at a particular pharmacy location not more than
one (1) time per calendar year for each pharmacy benefit manager. However, if
the audit results in a finding of material noncompliance at the pharmacy, the
auditor may return within the calendar year to determine ongoing
compliance.
(c) A pharmacy benefit
manager may not conduct an audit at a particular pharmacy location and engage
an independent auditor to conduct an audit on behalf of the pharmacy benefit
manager at the same pharmacy location within the same calendar year. However,
if an audit results in a finding of material noncompliance at the pharmacy, the
pharmacy benefit manager or auditor may return within the calendar year to
determine ongoing compliance.
Notes
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