Alaska § 21.27.915 - Overpayment or underpayment.
Full text of Alaska Alaska Statutes § 21.27.915 — Overpayment or underpayment., with citation guidance and answers to common questions.
§ 21.27.915. Overpayment or underpayment.
(a) When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager shall base a finding of overpayment or underpayment by the pharmacy on the actual overpayment or underpayment and not on a projection based on the number of patients served having a similar diagnosis or on the number of similar orders or refills for similar drugs, except as provided in (b) of this section.
(b) A pharmacy benefits manager may resolve a finding of overpayment or underpayment by entering into a settlement agreement with the pharmacy. The settlement agreement (1) must comply with the requirements of AS 21.36.125 ; and
(2) may be based on a statistically justifiable projection method.
(c) A pharmacy benefits manager may not include the dispensing fee amount in a finding of an overpayment unless (1) a prescription was not actually dispensed;
(2) the prescriber denied authorization;
(3) the prescription dispensed was a medication error by the pharmacy; or
(4) the identified overpayment is solely based on an extra dispensing fee.
Frequently Asked Questions About Alaska § 21.27.915
What does Alaska Statutes § 21.27.915 cover?
Section 21.27.915 ("Overpayment or underpayment.") is part of the Alaska Statutes, the codified statutory law of Alaska. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Alaska § 21.27.915?
A common citation format is "Alaska Statutes § 21.27.915" (Alaska). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Alaska law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Alaska official source linked on this page or consult a licensed Alaska attorney.
How does Alaska § 21.27.915 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Alaska can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Alaska.