CMS Seeks Part D Prior Authorization Criteria Transparency In 2009
Executive Summary
CMS is aiming to make Medicare Part D formulary prior authorization practices more clear and consistent by proposing new requirements for drug plans in its draft "call letter" to prospective plan sponsors for the 2009 benefit year
You may also be interested in...
Medicare Plans’ Formulary Restrictions Will Get More Scrutiny In 2010 Bids – CMS
The agency proposes that next year’s Part D bids report new drug utilization requirements in a clear and consistent way to make it easier to assess policy compliance.
Medicare Bill Allows Changes To Part D Protected Classes, Via Rule-Making
The new statutory requirement that Medicare drug plans cover all drugs in protected drug classes includes a hint of possible flexibility for interested stakeholders - the designated groups could be expanded or subtracted, though only through a formal regulatory process
Medicare Bill Allows Changes To Part D Protected Classes, Via Rule-Making
The new statutory requirement that Medicare drug plans cover all drugs in protected drug classes includes a hint of possible flexibility for interested stakeholders - the designated groups could be expanded or subtracted, though only through a formal regulatory process