TITLE 41

INSURANCE

CHAPTER 66

FAIR PHARMACY AUDITS ACT

41-6605.  Extrapolation audit prohibited. (1) As used in this section, "extrapolation audit" means an audit of a sample of prescription drug benefit claims submitted by a pharmacy to the person or entity conducting an audit that is then used to estimate audit results for a larger batch or group of claims not reviewed by the auditor.

(2)  No person or entity may conduct an extrapolation audit unless otherwise required by federal law or federal plans. A person or entity conducting an audit shall not use the accounting practice of extrapolation in calculating recoupments or penalties for audits.

History:

[41-6605, added 2023, ch. 233, sec. 1, p. 722.]