SB383 - Pharmacy Audit Integrity Act

• Establishes minimum and uniform standards for audits of pharmacy records conducted by managed care companies, health benefit plans, pharmacy benefit managers, and related entities.

• Requires auditing entities to provide pharmacies with at least two weeks' written notice before on-site audits, including documented checklists and applicable manuals, and prohibits interference with patient services during audits.

• Prohibits consideration of clerical or record-keeping errors as fraud and allows pharmacies to submit amended claims to correct such errors without recoupment if no actual financial harm occurred.

• Restricts audit lookback periods to two years from claim submission or adjudication and prohibits audits from being initiated during the first five calendar days of any month.

• Prohibits use of extrapolation accounting practices to calculate recoupments or penalties and establishes a written appeals process with mediation available through certified mediators from the Alabama Supreme Court's mediator list.