A BILL TO BE ENTITLED AN ACT AMENDING LAWS PERTAINING TO THE REGULATION OF PHARMACY TECHNICIANS, PHARMACY AUDITS, AND PRESCRIPTIONS FOR SCHEDULE II SUBSTANCES.
Senate committee substitute makes the following changes to the 3rd edition.
Amends GS 90-85.50(b), making organizational and clarifying changes. Allows recoupment of reimbursement when dispensing in excess of the benefit design, prescriptions are not filled according to the prescriber's order, and when the pharmacy makes an overpayment. Adds language providing that calculations of overpayment can include dispensing fees when fraud or intentional and willful misrepresentation by the pharmacy is present. Amends a pharmacy's right to know the identity of the responsible party on whose behalf the audit is being conducted, providing that only when the audit is conducted by a vendor or subcontractor is that entity required to identify the responsible party on whose behalf the audit is being conducted (previously, the pharmacy had a right to know the identity of the responsible party regardless of who was conducting the audit). Provides that a pharmacy has a right to use any prescription that complies with federal or state laws and regulations at the time of dispensing to validate a claim in connection with a prescription, prescription refill, or a change in a prescription (was, to use any prescription that complies with state laws and regulations).
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