§59-356.4. Extrapolation audit prohibited.
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A. For the purposes of the Pharmacy Audit Integrity Act, “extrapolation audit” means an audit of a sample of prescription drug benefit claims submitted by a pharmacy to the entity conducting the audit that is then used to estimate audit results for a larger batch or group of claims not reviewed by the auditor, including refills not listed in the written notification in accordance with paragraph 2 of subsection A of Section 356.2 of this title.
B. The entity conducting the audit shall not use the practice of extrapolation in calculating recoupments or penalties for audits. Added by Laws 2008, c. 137, § 5, eff. Nov. 1, 2008. Amended by Laws 2025, c. 300, § 4, emerg. eff. May 22, 2025.