Part D Information for Pharmaceutical Manufacturers

This page provides important information related to Part D program for Pharmaceutical companies.

The Medicare Coverage Gap Discount Program (Discount Program) makes manufacturer discounts available to eligible Medicare beneficiaries receiving applicable, covered Part D drugs, while in the coverage gap. In order to participate in the Discount Program, manufacturers must sign an agreement with CMS to provide the discount on all of its applicable drugs (i.e. prescription drugs approved or licensed under new drug applications or biologic license applications). Beginning in 2011, only those applicable drugs that are covered under a signed manufacturer agreement with CMS will be covered under Part D.

For 2012, CMS has provided on the download section of this page the list of participating Manufacturers, Labeler Codes and associated Labeler Codes Firm Names.

Please click the selection that best matches your area of interest and check back, as we will continue to update these resources regularly.

Downloads
Medicare Coverage Gap Discount Program - 2012 Labeler Code File (v02.01.12)  [ZIP, 49KB] Medicare Coverage Gap Discount Program - Maximum Discount [PDF, 40KB] Medicare Coverage Gap Discount Program - New Low-Volume Guidance [PDF, 25KB] Medicare Coverage Gap Discount Program - Manufacturer Program Guidance [ZIP, 474KB] Medicare Coverage Gap Discount Program - Part D Sponsor Program Guidance (5/21/10) [ZIP, 606KB] Medicare Coverage Gap Discount Program - Manufacturer's Agreement [PDF, 91KB] Medicare Coverage Gap Discount Program - Third Party Administrators Agreement [PDF, 62KB]
Related Links Inside CMS
Plan Payment
Related Links Outside CMS
Medicare Coverage Gap Discount Program - Independent Review Entity for Manufacturer Appeals

Page Last Modified: 02/02/2012 12:22:35 PM
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