§ 33-2-2001 Short title
§ 33-2-2002 Definitions
§ 33-2-2003 Applicability
§ 33-2-2004 Audit of pharmacy records
§ 33-2-2005 Prohibitions — recoupment — payment — interest
§ 33-2-2006 Onsite audits — preliminary and final reports — appeals

Terms Used In Montana Code > Title 33 > Chapter 2 > Part 20 - Pharmacy Audit Integrity Act

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Audit: means a review of the records of a pharmacy by or on behalf of an entity that finances or reimburses the cost of health care services or pharmaceutical products. See Montana Code 33-2-2002
  • Contract: A legal written agreement that becomes binding when signed.
  • Entity: includes :

    (a)a pharmacy benefits manager;

    (b)a health benefit plan;

    (c)a third-party administrator; and

    (d)a company, group, or agent that represents or is engaged by one of the entities described in this subsection (2). See Montana Code 33-2-2002

  • Health benefit plan: means a policy or certificate that provides health care insurance or major medical expense insurance or that is offered as a substitute for hospital or medical expense insurance. See Montana Code 33-2-2002
  • Process: means a writ or summons issued in the course of judicial proceedings. See Montana Code 1-1-202
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Montana Code 1-1-201