FL S0702

Creates section 465.1885, Florida Statutes, to establish pharmacy rights during audits conducted by managed care companies, insurance companies, third-party payors, pharmacy benefit managers, or representative entities.

Requires 7 calendar days' notice before initial on-site audits and limits audit periods to 24 months after claim submission or adjudication.

Grants pharmacies rights including on-site audit scheduling after the third calendar day of a month, clinical audit participation by pharmacists, use of practitioner records for validation, and reimbursement for retroactively denied claims due to clerical or computer errors.

Provides 120 days for preliminary audit reports and 6 months for final reports, with 10 business days for pharmacies to respond to findings; prohibits extrapolation-based recoupment and requires actual overpayment calculations.

Exempts from these protections audits involving suspected fraud, federally funded program claims, and concurrent reviews or desk audits within 3 business days of claim transmission with no chargeback demanded; also exempts pharmacies in HEAT Task Force areas with less than 12 months credentialing from notice requirements.