S 1008 New Jersey Senate · 2024-2025 Regular Session

"New Jersey Pharmacy Audit Bill of Rights;" establishes procedures by which entities are required to conduct audits of pharmacies.

The New Jersey Pharmacy Audit Bill of Rights (S 1008) establishes clear rules for insurance companies, pharmacy benefits managers, and other entities conducting audits of pharmacies. It requires 14 days' notice before an audit, limits audits to 100 prescriptions per audit (max 200 annually), and prohibits recouping costs for simple clerical errors like typos. Pharmacies must be given 60 days to correct errors and 30 days to appeal unfavorable audit findings, while audits cannot occur during the first seven days of a month without consent. The bill also bans using "extrapolation" to calculate overpayments and prevents repeated audits by the same entity within six months.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 0 co-sponsors

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