Oklahoma SB993 establishes requirements and limits for audits conducted by pharmacy benefit managers (PBMs) on pharmacies.
Oklahoma SB993 amends the Pharmacy Audit Integrity Act to set specific rules for audits conducted by pharmacy benefit managers (PBMs) on pharmacies. It mandates that PBMs provide pharmacies with written notice of audits at least 14 days in advance, detailing specific prescriptions to be audited. Audits must follow a written appeals process, and PBMs must not recoup funds from pharmacies until the appeals process is complete. The bill also prohibits PBMs from using accounting practices like extrapolation in calculating recoupments or penalties.
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