Texas Insurance Code - INS § 1369.266. Recoupment and Interest Charged After Audit

(a) If an audit under this subchapter is conducted, the health benefit plan issuer or pharmacy benefit manager:

(b) The limitations on recoupment and interest accrual or assessment under Subsection (a) do not apply to a health benefit plan issuer or pharmacy benefit manager that, after reviewing claims data, written or oral statements of pharmacy staff, wholesalers, or others, or other investigative information, including patient referrals, anonymous reports, or postings on Internet websites, suspects the audited pharmacist or pharmacy committed fraud or made an intentional misrepresentation related to the pharmacy business.