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CMS Home > Medicare > Medicare Prescription Drug Appeals & Grievances > Overview

Overview

This section provides specific information of particular importance to beneficiaries receiving Part D drug benefits through a Part D plan.

Use the navigation tool on the left side of this page to link to sub-pages with more detailed information on areas such as grievances, coverage determinations and exceptions, appeals under Part D, and other guidance.

Downloads

How to File a Complaint, Coverage Determination, or an Appeal [pdf, 434kb]

Flow chart: Medicare Part D Appeals Process [pdf, 28kb]

Health Care Professional's Part D Fact Sheet [pdf, 80kb]

Plan Sponsor Grievance, Coverage Determination, and Appeals Contacts [zip, 180kb]

Chapter 18 of the Prescription Drug Benefit Manual [zip, 302kb]

Related Links Inside CMS

There are no Related Links Inside CMS
Related Links Outside CMS

Drugdex

US Pharmacopeia

American Hospital Formulary Service Drug Information

 

Page Last Modified: 04/16/2010 9:18:01 AM
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