§ 19-03.6-03 — Audit reports - Disclosure - Distribution of recouped funds - Review of auditor

North Dakota § 19-03.6-03

• Jurisdiction: North Dakota
• Title 19: Foods, Drugs, Oils, and Compounds
• Ch. 19-03.6: Pharmacy Records Audits

Text

auditor.
1. A preliminary audit report must be delivered to the pharmacy within one hundred
twenty days after the conclusion of the audit.
2. A pharmacy must be allowed at least sixty days following receipt of the preliminary
audit to provide documentation to address any discrepancy found in the audit.
3. A final audit report must be delivered to the pharmacy within ninety days after receipt
of the preliminary audit report or final appeal, whichever is later.
4. No chargeback, recoupment, or other penalty may be assessed until the appeal
process has been exhausted and the final report issued.
5. An entity shall remit any money due to a pharmacy or pharmacist as a result of an
underpayment of a claim within thirty days after the appeals process has been
exhausted and the final audit report has been issued.
6. An auditing entity shall provide a copy of the final report to the plan sponsor for which
claims were included in the audit. Any funds recouped must be returned to the plan
sponsor.