510B.8C  Clean claims.
  After the date of receipt of a clean claim submitted by a pharmacy in a pharmacy network, a pharmacy benefits manager shall not retroactively reduce payment on the claim, either directly or indirectly except in the following circumstances:
  1.  The claim is found not to be a clean claim during the course of a routine audit.
  2.  The claim submission was fraudulent.
  3.  The claim submission was a duplicate submission of a claim for which the pharmacy had already received payment.
2022 Acts, ch 1113, §10, 16, 23
Section applies to pharmacy benefits managers that manage a prescription drug benefit in the state on or after June 13, 2022; 2022 Acts, ch 1113, §16