Except for an overpayment as defined in § 15-1629(h) of this subtitle, if a claim has been approved by a pharmacy benefits manager through adjudication, the pharmacy benefits manager may not retroactively deny or modify reimbursement to a pharmacy or pharmacist for the approved claim unless: (1) the claim was fraudulent; (2) the pharmacy or pharmacist had been reimbursed for the claim previously; or (3) the services reimbursed were not rendered by the pharmacy or pharmacist.
‹ Prev All Maryland sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.