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North Carolina · Through S.L. 2026-30

N.C. Gen. Stat. § 58-50-415: Reversals of approval.

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Where this section sits in the code
  1. Chapter 58. Insurance.
  2. Article 50. General Accident and Health Insurance Regulations.
  3. Part 8. Pharmacy Audit Rights.

Except for Medicare claims, no auditing entity shall subject a pharmacy to reversals of approval for drug, prescriber, or patient eligibility upon adjudication of a claim unless the pharmacy obtained the adjudication by fraud or misrepresentation of claim elements. (2011-375, s. 1; 2013-379, s. 3; recodified from N.C. Gen. Stat. 90-85.50(b)(13) by 2025-69, s. 5.1(a), (b).)

Collected 2026-08-27T18:06:53Z. Source file · JSON

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