2020 West Virginia Code
Chapter 33. Insurance
Article 51. Pharmacy Audit Integrity Act
§33-51-6. Limitations

Universal Citation: WV Code § 33-51-6 (2020)

(a) The provisions of this article do not apply to an investigative audit of pharmacy records when:

(1) Fraud, waste, abuse or other intentional misconduct is indicated by physical review or review of claims data or statements; or

(2) Other investigative methods indicate a pharmacy is or has been engaged in criminal wrongdoing, fraud or other intentional or willful misrepresentation.

(b) This article does not supersede any audit requirements established by federal law.

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