Minn. R. agency 120, ch. 2737, pt. 2737.1800
Current through Register Vol. 49, No. 24, December 9, 2024
Minnesota Statutes, section 62W.13, must not be waived or modified by contract.
A claim for a billing error must be documented and the information supporting the claim, if any, must be provided to the pharmacy upon request. A pharmacy benefit manager must allow a pharmacy an opportunity to rebut a billing error claim.
Payment for quality performance metrics included in a prescription drug plan that are based on a pharmacy's quality performance and calculated on prescription count are not retroactive claim adjustments.
Minn. R. agency 120, ch. 2737, pt. 2737.1800