{"data":{"id":"us-md/md.-code-insurance-15-1631","jurisdiction":"us-md","citation":"Md. Code, Insurance § 15–1631","heading":"","body":"Except for an overpayment as defined in § 15–1629(h) of this subtitle, if a claim has been approved by a pharmacy benefits manager through adjudication, the pharmacy benefits manager may not retroactively deny or modify reimbursement to a pharmacy or pharmacist for the approved claim unless:\n(1) the claim was fraudulent;\n(2) the pharmacy or pharmacist had been reimbursed for the claim previously; or\n(3) the services reimbursed were not rendered by the pharmacy or pharmacist.","path":["Article - Insurance"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin\u0026section=15-1631","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:59:28Z","sha256":"20199aa416d9bed394aead7aab0010a3bbaceb7598a8330d5b6966249f8007f0","source_id":"us-md","stale":false,"prev":"us-md/md.-code-insurance-15-1630","next":"us-md/md.-code-insurance-15-1633"},"notice":"GroundRules: Original legal text. Not legal advice."}