Alaska Statutes.
Title 21. Insurance
Chapter 27. Producers, Agents, Administrators, Brokers, Adjusters, and Managers
Section 920. Recoupment.
previous: Section 915. Overpayment or Underpayment.
next: Section 925. Pharmacy Audit Reports.

AS 21.27.920. Recoupment.

   (a) When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager shall base the recoupment of overpayments on the actual overpayment of the claim, except as provided in AS 21.27.915(b).
   (b) A pharmacy benefits manager conducting an audit of a pharmacy may not
        (1) use extrapolation in calculating recoupments or penalties for audits, unless required by state or federal contracts;
        (2) assess a charge-back, recoupment, or other penalty against a pharmacy solely because a prescription is mailed or delivered at the request of a patient; or
        (3) receive payment
             (A) based on a percentage of the amount recovered; or
             (B) for errors that have no actual financial harm to the patient or medical plan.

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