- A. Pharmacy audits of records shall, with the exception of fraud or willful misrepresentation audits, be the sole mechanism a health insurance issuer or its agent may require a pharmacy to participate in for the purpose of systematic review of the pharmacy’s compliance with contract terms and conditions, filing guidelines, and the provider manual.
Authority Note
AUTHORITY NOTE: Promulgated in accordance with R.S. 22:3 and 22:250.61
Historical Note
HISTORICAL NOTE: Promulgated by the Department of Insurance, Office of the Commissioner, LR 51:964 (July 2025).