H 1209: Pharmacy Audits

Summary

Revises requirements for audits of licensed pharmacies conducted by or on behalf of pharmacy benefit plans or programs; revises audit procedures, documentation requirements, recoupment limits, & reporting & appeal requirements; provides procedures for conducting audits of fraud, waste, or abuse; provides for enforcement; authorizes OIR to impose fines & other administrative penalties; authorizes suspension or revocation of pharmacy benefit manager's registration; requires FSC to adopt rules.

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Mar 13, 2026

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