North Carolina General Statutes Chapter 58. Insurance § 58-50-400. Definitions

(1) Auditing entity.--The responsible party conducting an audit of a pharmacy or the entity conducting an audit of a pharmacy on behalf of a responsible party.

(2) Claim.--A request for reimbursement submitted by a pharmacy or pharmacist to a pharmacy benefits manager for a single fill or refill of any drug, product, or medication for which a prescription is written by a licensed prescriber under applicable State or federal law, or pharmacist-provided service, that has been adjudicated and processed by the pharmacy benefits manager.  Each fill or refill shall constitute a separate and distinct claim, regardless of the number of days' supply or quantity dispensed.

(3) Reserved.

(4) Medication error.--The dispensing of the wrong prescription drug, the dispensing of a prescription to the wrong patient, or the dispensing of a prescription with the wrong directions or patient instructions.

(5) Pharmacist.--An individual licensed to practice pharmacy under Article 4A of Chapter 90 of the General Statutes.

(6) Pharmacy.--An individual or entity holding a valid pharmacy permit pursuant to G.S. 90-85.21 or G.S. 90-85.21A.

(7) Reserved.

(8) Responsible party.--An insurer offering a health benefit plan or any other entity regulated under this Chapter responsible for payment of claims for healthcare services.