The following definitions apply in this Part: (1) Auditing entity. - The responsible party conducting an audit of a pharmacy or the entity conducting an audit of a pharmacy on behalf of a responsible party. (2) Claim. - A request for reimbursement submitted by a pharmacy or pharmacist to a pharmacy benefits manager for a single fill or refill of any drug, product, or medication for which a prescription is written by a licensed prescriber under applicable State or federal law, or pharmacist-provided service, that has been adjudicated and processed by the pharmacy benefits manager. Each fill or refill shall constitute a separate and distinct claim, regardless of the number of days' supply or quantity dispensed. (3) Reserved for future codification purposes. (4) Medication error. - The dispensing of the wrong prescription drug, the dispensing of a prescription to the wrong patient, or the dispensing of a prescription with the wrong directions or patient instructions. (5) Pharmacist. - An individual licensed to practice pharmacy under Article 4A of Chapter 90 of the General Statutes. (6) Pharmacy. - An individual or entity holding a valid pharmacy permit pursuant to G.S. 90-85.21 or G.S. 90-85.21A. (7) Reserved for future codification purposes. (8) Responsible party. - An insurer offering a health benefit plan or any other entity regulated under this Chapter responsible for payment of claims for healthcare services.
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