CMS Proposed Rule Comments Due January 16: Any Willing Provider and DIR Provisions Addressed

Nov 20, 2017

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes a number of changes that, if finalized, will ensure that Part D Medicare enrollees have access to more affordable prescription drugs and more robust prescription drug coverage at the pharmacy they prefer. The rule also gives health plans a new tool to combat the opioid crisis.

The proposed regulation also looks to eliminate DIR fees in the Medicare Part D Program. CMS is soliciting comment for applying some manufacturer rebates and all pharmacy price concessions to the price of a drug at the point of sale.

CMS will accept comments on the proposed rule until January 16, 2018.

For a fact sheet on the proposed rule, click here

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