69O-197.010. Pharmacy Benefit Manager Market Conduct Examination Reimbursement Expenses

(1) This rule establishes rates and procedures for reimbursement to the Office for: (a) the compensation and actual travel and per diem expenses of any employed examiner, and (b) the costs to the Office directly related to pharmacy benefit manager market conduct examinations or investigations conducted by the Office pursuant to the provisions of s. 626.8828, F.S. (2) Definition. “Employed examiner” means a person employed or otherwise authorized by the Office to make pharmacy benefit manager market conduct examinations or investigations pursuant to section 626.8828(5), F.S. (3) If a full time employee of the Office is authorized to make the pharmacy benefit manager market conduct examination or investigation, compensation expenses will be assessed by dividing the employee’s monthly base rate of pay, as established in People First, by 175 hours to determine the hourly rate. (4) Actual travel and per diem expenses will be assessed based on the the statewide travel management system requirements outlined in s. 112.061, F.S. (5) Necessary costs of the Office directly related to the pharmacy benefit manager market conduct examination or investigation may include but are not limited to office supplies and equipment, scanning, facsimile, or printing expenses incurred as a result of the pharmacy benefit manager market conduct examination or investigation. (6) The expenses of the pharmacy benefit manager market conduct examination or investigation must be reimbursed to the Office within 30 days of receiving a detailed statement from the Office. All moneys collected shall be deposited into the Insurance Regulatory Trust Fund. (7) For purposes of s. 626.8828(5)(a), F.S., “make” or “making” means the act or process of forming, causing, doing, or coming into being. (8) For purposes of s. 626.8828(5)(a), F.S., “other person” means any person authorized by the Office to make the pharmacy benefit manager market conduct examination or investigation.