South Dakota Statutes

§ 58-29E-13 — Certain claims adjustments prohibited.

South Dakota § 58-29E-13
JurisdictionSouth Dakota
Title 58INSURANCE
Ch. 58-29APHARMACY BENEFITS MANAGEMENT

This text of South Dakota § 58-29E-13 (Certain claims adjustments prohibited.) is published on Counsel Stack Legal Research, covering South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
S.D. Codified Laws § 58-29E-13 (2026).

Text

A pharmacy benefit manager may not, directly or indirectly, retroactively adjust a claim for reimbursement submitted by a pharmacy for a prescription drug, unless:

(1)The adjustment is necessitated by a pharmacy audit conducted in accordance with chapter 58-29F ;
(2)The adjustment is necessitated by a technical billing error;
(3)The original claim was found to have been fraudulently submitted; or (4) The claim submission was a duplicate for which the pharmacy had already received payment.

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Legislative History

SL 2019, ch 213, § 2; SL 2023, ch 166, § 13.

Nearby Sections

15
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Bluebook (online)
South Dakota § 58-29E-13, Counsel Stack Legal Research, https://law.counselstack.com/statute/sd/58-29E-13.