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Texas Insurance Code - INS § 1369.264. Final Audit Report

Current as of January 01, 2024 | Updated by Findlaw Staff

Not later than the 120th day after the date the pharmacist or pharmacy receives a preliminary audit report under Section 1369.263, the health benefit plan issuer or pharmacy benefit manager shall send by a means that allows tracking of delivery to the pharmacist or pharmacy a final audit report that states:

(1) the audit results after review of the documentation submitted by the pharmacist or pharmacy in response to the preliminary audit report; and

(2) the audit results, including a description of all alleged discrepancies and explanations for and the amount of recoupments claimed after consideration of the pharmacist's or pharmacy's response to the preliminary audit report.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1369.264. Final Audit Report - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1369-264/

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