Pharmacy contracts; establishes requirements for audit procedures. (HB198)

Introduced By

Del. Lee Ware (R-Powhatan)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Pharmacy contracts; audits.  Establishes requirements for audit procedures with respect to contracts between a health insurance carrier and its pharmacy benefits administrator, or between a carrier and a participating pharmacy provider or its contracting agent. Requirements address notice of audits, nondiscrimination, use of a licensed pharmacist to assist the auditor, provision of preliminary audit reports, use of extrapolations, charging interest, recovery or setoff for any overpayment or denial of claims, and related matters. Such contracts shall include a claims review process. The measure applies to contracts entered into, amended, extended, or renewed on or after January 1, 2011. Read the Bill »


Bill Has Failed


01/07/2010Prefiled and ordered printed; offered 01/13/10 10101147D
01/07/2010Referred to Committee on Commerce and Labor
01/21/2010Stricken from docket by Commerce and Labor
02/01/2010Impact statement from SCC (HB198)


Virginia ITSP Association, tracking this bill in Photosynthesis, notes:

Commerce - Audit