A pharmacy benefit manager may not, directly or indirectly, retroactively adjust a claim for reimbursement submitted by a pharmacy for a prescription drug, unless: (1) The adjustment is necessitated by a pharmacy audit conducted in accordance with chapter 58-29F ; (2) The adjustment is necessitated by a technical billing error; (3) The original claim was found to have been fraudulently submitted; or (4) The claim submission was a duplicate for which the pharmacy had already received payment.
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