™Your Policy Risk Impact Agent
53 chapters · 1,250 sections in this title.
AS 21.27.940 Pharmacy audits; restrictions.
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The requirements of AS 21.27.901 21.27.975 do not apply to an audit (1) in which suspected fraudulent activity or other intentional or wilful misrepresentation is evidenced by a physical review, a review of claims data, a statement, or another investigative method; or (2) of cl…
AS 21.27.945 Drug pricing list.
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(a) A pharmacy benefits manager shall (1) provide to each network pharmacy at the beginning of the term of the network pharmacy's contract, and upon renewal of the contract, the methodology and sources used to determine the list; (2) provide the list to a network pharmacy without…
AS 21.27.950 Multi-source generic drug appeal.
AS 21.27.951 Patient access to clinician-administered drugs.
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(a) An insurer or its pharmacy benefits manager may not (1) refuse to authorize, approve, or pay a provider for providing covered clinician-administered drugs and related services to a covered person if the provider has agreed to participate in the insurer's health care insurance…
AS 21.27.952 Penalties.
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In addition to any other penalty provided by law, if a person violates AS 21.27.945 21.27.975, the director may, after notice and hearing, impose a penalty in accordance with AS 21.27.440.