Statute · California Business and Professions Code
Cal. Bus. & Prof. Code § 4431 — Audits of Pharmacy Benefits
Cal. Bus. & Prof. Code § 4431
- Type
- Statute
- Source
- California Business and Professions Code
- Jurisdiction
- California
- Date
- 2013-01-01
- Current through
- Nov 2, 2026 (California Legislative Counsel)
(a) Nothing in this chapter shall apply to an audit conducted because a pharmacy benefit manager, carrier, health benefit plan sponsor, or other third-party payer has indications that support a reasonable suspicion that criminal wrongdoing, willful misrepresentation, fraud, or abuse has occurred.
Citator
Cal. Bus. & Prof. Code § 4431 — Audits of Pharmacy Benefits is in force in the current edition of the Code, and nothing recorded condemns it.
(a) Nothing in this chapter shall apply to an audit conducted because a pharmacy benefit manager, carrier, health benefit plan sponsor, or other third-party payer has indications that support a reasonable suspicion that criminal wrongdoing, willful misrepresentation, fraud, or abuse has occurred.
(b) Nothing in this chapter shall apply to an audit conducted by, or at the direction of, the California State Board of Pharmacy, the State Department of Health Care Services, the State Department of Public Health, or the Medicare program.