South Dakota Statutes
§ 58-29E-13 — Certain claims adjustments prohibited.
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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South Dakota § 58-29E-13 (Certain claims adjustments prohibited.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.
Legislative History
SL 2019, ch 213, § 2; SL 2023, ch 166, § 13.
Nearby Sections
15
§ 58-1-1
Citation of title.§ 58-1-11
General saving clause.§ 58-1-13
Severability of provisions.§ 58-1-14
Notice of nonrenewal of policy must be mailed sixty days prior to renewal date--Exceptions.§ 58-1-14.1
Notice of refusal to renew--Thirty§ 58-1-16.1
Applicability of §§ 58-1-18
Repealed by SL 2012, ch 252, § 30.§ 58-1-2
Definition of terms.