Authority: IC 27-1-24.5-20

Affected: IC 27-1-24.5-22

Sec. 1. This rule does not apply to an audit that involves probable or potential fraud or willful misrepresentation by a pharmacy or pharmacist. This rule does not:

1. (1) preclude an entity from instituting an action for fraud against a pharmacy;
2. (2) apply to an audit of pharmacy records when fraud or other intentional and willful misrepresentation is evidenced by physical review, review of claims data or statements, or other investigative methods; or
3. (3) apply to a state agency that is conducting audits or a person that has contracted with a state agency to conduct audits of pharmacy records.

(Department of Insurance; 760 IAC 5-3-1; filed Feb 23, 2023, 9:48 a.m.: 20230322-IR-760220287FRA)