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Indiana Code Title 25. Professions and Occupations § 25-26-22-8

Current as of January 02, 2024 | Updated by Findlaw Staff

Sec. 8. An audit finding of an overpayment or underpayment of a claim:

(1) must be based on an actual overpayment or underpayment;  and

(2) may not be based on a projection that is based on the number of:

(A) patients who:

(i) have similar diagnoses;  and

(ii) are served by the pharmacy;  or

(B) prescriptions for or refills of similar legend drugs that are dispensed by the pharmacy.

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Cite this article: FindLaw.com - Indiana Code Title 25. Professions and Occupations § 25-26-22-8 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-25-professions-and-occupations/in-code-sect-25-26-22-8/

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