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CMS Home > Medicare > Prescription Drug Coverage Contracting > Formulary Guidance

Formulary Guidance

This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads.

Click the selection that best matches your informational needs.  Please check back as we will continue to update these resources regularly.

Please note that Transition related documents have been move to the "Part D Transition" page - click the link in "Links within CMS" to access the page.

Downloads
CY2011 Non-Matched National Drug Code (NDC) List (v09.07.11) [ZIP, 141KB]

2012 Pricing Data Guidelines and Calendar (V01.27.12) [ZIP, 133KB]

2012 Formulary Reference File (v07.08.11) [ZIP, 296KB]

2011 Formulary Reference File (v09.26.11) [ZIP, 308KB]

2011 Pricing Data Guidelines and Calendar (v05.21.10) [ZIP, 271KB]

2010 Pricing Data Guidelines (v9.24.09) [PDF, 62KB]

2010 Pricing Data Calendar [PDF, 464KB]

Formulary Change During the Plan Year [PDF, 72KB]
Related Links Inside CMS

Part D Manuals Page
Related Links Outside CMSExternal Linking Policy

The United States Pharmacopeia (USP)

 

Page Last Modified: 01/31/2012 12:20:04 PM
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