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Medicare Prescription Drug Appeals & Grievances

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.

WEB BASED TRAINING COURSE AVAILABLE FOR PART D

The course covers requirements for Part D coverage determinations, appeals, and grievances found at 42 CFR Part 423, Subpart M and Chapter 18 of the Prescription Drug Benefit Plan Manual. Complete details and a link to the training module can be found on the "Guidance" page (select "Guidance" link on the navigation menu found at the left side of this page).