§ 58-29E-13 Certain claims adjustments prohibited.

SD Codified L § 58-29E-13 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

58-29E-13. Certain claims adjustments prohibited. No pharmacy benefit manager contracting with a covered entity shall retroactively adjust a claim for reimbursement submitted by a pharmacy for a prescription drug unless the adjustment is a result of either of the following:

(1) A pharmacy audit conducted in accordance with chapter 58-29F; or

(2) A technical billing error.Source: SL 2019, ch 213, § 2.