When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager may not consider unintentional clerical or record-keeping errors, including typographical errors, writer's errors, or computer errors regarding a required document or record, to be fraudulent activity. In this section, “fraudulent activity” means an intentional act of theft, deception, misrepresentation, or concealment committed by the pharmacy.
Structure Alaska Statutes
Chapter 27. Producers, Agents, Administrators, Brokers, Adjusters, and Managers
Article 9. Pharmacy Benefits Managers.
Sec. 21.27.901. Registration of pharmacy benefits managers; scope of business practice.
Sec. 21.27.905. Renewal of registration.
Sec. 21.27.910. Pharmacy audit procedural requirements.
Sec. 21.27.915. Overpayment or underpayment.
Sec. 21.27.925. Pharmacy audit reports.
Sec. 21.27.930. Pharmacy audit appeal; future repayment.
Sec. 21.27.935. Fraudulent activity.
Sec. 21.27.940. Pharmacy audits; restrictions.
Sec. 21.27.945. Drug pricing list; procedural requirements.