California Codes, Business and Professions Code - BPC, Division 2 — Healing Arts, Chapter 9.5 — Audits of Pharmacy Benefits, Section 4437

The time period covered by a pharmacy audit shall not exceed 24 months from the date that the claim was submitted to, or adjudicated by, the pharmacy benefits manager, unless a longer period is required under state or federal law or unless the originating prescription is required.

Notes

Limits the period examined in a pharmacy audit to no more than 24 months from the date the claim was submitted to or adjudicated by the pharmacy benefit manager. A longer audit period is allowed when state or federal law requires it or when the originating prescription is required.

Use as reference

Lexinter.net | California Code, Business and Professions Code - BPC § 4437 | https://laws.lexinter.net/codes/california/business-and-professions-code/division-2/chapter-9-5/section-4437

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