Modifies provisions relating to pharmacy benefit managers

Added a new section clarifying that the Department of Commerce and Insurance and other state agencies do not need to enforce the new pharmacy audit laws on self-funded health plans.

Updated formatting and page references to reflect the bill's progression through the legislative process.

Removed the repeal of section 376.388 and the reference to it in the list of new sections.

Expanded the definition of 'Audit' to include investigations and examinations, and added specific financial consequences like recoupment and penalties that may result from an audit.

Added a clarification that routine verification or inquiry does not constitute an audit unless it leads to financial adjustments.

Increased the maximum number of unique prescriptions subject to an audit from twenty-five to forty.

Added an exception allowing audits more than twice per year if fraud or intentional misrepresentation is suspected.

Required the audit notice to explicitly list the specific claims subject to the on-site audit.

Increased the required notice period for on-site audits from one week to fourteen days and mandated written notice sent via trackable means.