Part D Model Materials
CMS developed these model Part D documents for use by Prescription Drug Plan (PDP) Sponsors and Medicare Advantage Prescription Drug Plans (MAPDs).
Downloads
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CY 2026 Part D Models (ZIP) -
CY 2026 Part D EOB (ZIP) -
CY 2026 Part D Model Materials Translated (ZIP) -
CY 2025 Part D Model Materials (ZIP) -
CY 2025 Part D Model Materials Translated (ZIP) -
CY 2025 Part D EOB Instructions and Exhibits (ZIP) -
Notice for Beneficiaries Whose LIS is Terminated (DOCX) -
Determination of LIS Ineligibility (DOCX) -
Notice of Error in Premiums and Cost Sharing (DOCX) -
Notice of Removal of LIS Period(s) (Change in Cost Sharing) (DOCX) -
Notice of Removal of LIS Period(s) (Losing LIS) (DOCX) -
CY 2024 Part D Models (ZIP) -
CY 2024 Part D Model Materials Translated (ZIP) -
CY 2023 Part D Models (ZIP) -
CY 2023 Translated Model Materials (ZIP) -
CY 2022 Part D Model Materials (ZIP) -
CY 2022 Part D Model Materials Translated (ZIP) -
CY 2021 Part D Model Materials (ZIP) -
CY 2021 Part D Model Materials Translated (ZIP) -
CY 2020 Part D Model Materials (May 2019) (ZIP) -
CY 2020 Part D Model Materials-Translated (ZIP) -
CY 2019 Part D Models July Update (ZIP) -
CY 2019 Part D Translated Model Materials (ZIP) -
CY 2018 Part D Model Materials.v05222017 (ZIP) -
CY 2018 Part D Translated Model Materials (ZIP) -
CY 2017 Part D Model Materials (v.09262016) (ZIP) -
CY 2017 Part D Models Translated (ZIP) -
CY 2016 Part D Model and Translated Model Materials (ZIP) -
CY 2015 Part D Model and Translated Model Materials (ZIP)
Page Last Modified:
09/15/2025 04:16 PM