(a) The provisions of this article do not apply to an investigative audit of pharmacy records when:
(1) Fraud, waste, abuse or other intentional misconduct is indicated by physical review or review of claims data or statements; or
(2) Other investigative methods indicate a pharmacy is or has been engaged in criminal wrongdoing, fraud or other intentional or willful misrepresentation.
(b) This article does not supersede any audit requirements established by federal law.
Structure West Virginia Code
Article 51. Pharmacy Audit Integrity Act
§33-51-4. Procedures for Conducting Pharmacy Audits
§33-51-7. Pharmacy Benefits Manager and Auditing Entity Registration
§33-51-8. Licensure of Pharmacy Benefit Managers
§33-51-9. Regulation of Pharmacy Benefit Managers
§33-51-10. Commissioner Required to Propose Rules
§33-51-11. Freedom of Consumer Choice for Pharmacy