3/25/20

Ohio Department of Insurance Issues Bulletin 2020-04 Temporary Suspension of Pharmacy Audits During Declared State of Emergency

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In response to the COVID-19 pandemic and Ohio Governor Mike DeWine’s declaration of a state of emergency in Ohio (See Executive Order 2020-01D), the Ohio Superintendent of Insurance (the Superintendent) issued Bulletin 2020-04 and ordered all third party administrators, including pharmacy benefit managers, health insurance companies, and other entities licensed pursuant to the laws of Ohio relating to insurance (collectively the Administrators) to suspend pharmacy audits during this state of emergency. 

Conducting or attempting to conduct pharmacy audits during this state of emergency may be considered a fraudulent, coercive, or dishonest practice, and may subject the Administrator to legal action, including license suspension and/or monetary fines.

Vorys is continuing to monitor the COVID-19 outbreak and related guidance to Insurers.  If you have questions regarding Bulletin 2020-04 and its impact on your organization, please contact:  Anthony Spina, Jolie Havens or Tom Szykowny.

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Vorys is continuing to monitor the COVID-19 outbreak and related guidance to Insurers.  In addition, Vorys attorneys and professionals are counseling our clients on a myriad of others issues related to the outbreak.  We have established a comprehensive COVID-19 Task Force, which includes attorneys with deep experience in the niche disciplines that we have been and expect to continue receiving questions regarding coronavirus. Learn more and see the latest updates from the task force at vorys.com/coronavirus