{"data":{"id":"us-ak/as-21.27.920","jurisdiction":"us-ak","citation":"AS 21.27.920","heading":"Recoupment.","body":"(a) When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager shall base the recoupment of overpayments on the actual overpayment of the claim, except as provided in AS 21.27.915(b).\n(b) A pharmacy benefits manager conducting an audit of a pharmacy may not\n(1) use extrapolation in calculating recoupments or penalties for audits, unless required by state or federal contracts;\n(2) assess a charge-back, recoupment, or other penalty against a pharmacy solely because a prescription is mailed or delivered at the request of a patient; or\n(3) receive payment\n(A) based on a percentage of the amount recovered; or\n(B) for errors that have no actual financial harm to the patient or medical plan.","path":["Title 21. Insurance.","Chapter 27. Producers, Agents, Administrators, Brokers, Adjusters, and Managers.","Article 9. Pharmacy Benefits Managers."],"source_url":"https://www.akleg.gov/basis/statutes.asp#21.27.920","current_through":"Alaska Statutes 2025 (34th Legislature, 2025-2026)","vintage":"","retrieved_at":"2026-09-02T06:17:40Z","sha256":"de741368408e96aa577c7d9ed1c1ecefc257709294e88a861b55cbcf26fec1c3","source_id":"us-ak","stale":false,"prev":"us-ak/as-21.27.915","next":"us-ak/as-21.27.925"},"notice":"GroundRules: Original legal text. Not legal advice."}