Pharmacist Information Center
Explore CMS resources for pharmacists, including Medicare enrollment, coverage policies, Part D information, opioid misuse prevention, and provider tools.
Announcements
Resources
Enrollment & Participation
- Hospital: Conditions of Participation
- Medicare Provider Supplier Enrollment
- National Provider Identifier Standard (NPI)
- Part D Prescriber Enrollment Information
- Quality, Safety & Oversight - General Information
Coverage
- Coordinating Prescription Drug Benefits
- Items/Services Not covered Under Medicare
- Long-term care options for Medicare beneficiaries
- Medicare Plan Finder for beneficiaries
- Medicare Coverage Determinations Process
- Medigap: Medicare supplemental health insurance for beneficiaries
- National Coverage Determination (NCD) for Routine Costs in Clinical Trials
- Part D Information for Pharmaceutical Manufacturers
- Prescription Creditable Coverage
- Prescription Drug Coverage General Information
- VA Pharmacy Benefits Manager
- VA & Other Health Insurance
Fraud & Abuse
Innovation Models & Demonstrations
- BALANCE (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth) Model
- Innovation Models
- Medicare GLP-1 Bridge
Policies, Regulations & Legislation
Government Accountability Office (GAO)
Vaccine Information
Billing & Payment
- ESRD PPS
- HRSA 340B Drug Pricing Program Home Page
- Hospital Outpatient PPS
- Long-Term Care Hospital PPS
- Inflation Reduction Act & Medicare
- Medicare Prescription Drug Appeals & Grievances
- Part B ASP Pricing Files
- Skilled Nursing Facility PPS
Coding
Research Data
- CMS Data Navigator
- CMS Drug Spending
- CMS Fast Facts
- CMS Opioid Prescribing
- CMS Program Statistics
- Data & Research - General Information
- Medicaid & CHIP Open Data
- Medicaid: National Average Drug Acquisition Cost (NADAC)
- Medicare Advantage/Part D Contract and Enrollment Data
- Medicare Advantage Rates & Statistics
- Medicare Enrollment Dashboard
- Medicare Geographic Information
- National Health Expenditure (NHE) Fact Sheet
- Part C & D Performance Data
Limited Income & Resources
- Limited Income NET Program (PDF) - Quick Reference Guide for the LINET Program
- Limited Income & Resources (LIS)
- Humana's Website for the LINET Program
Program Manuals & Transmittals
- FDA Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations
- FDA Purple Book: Lists of Licensed Biological Products with Reference Product Exclusivity and Biosimilarity or Interchangeability Evaluations
- Medicare Benefit Policy Manual
- Prescription Drug Benefit Manual
- Transmittals
Opioid Misuse & Treatment
General Provider Information
| Medicare Part A | Medicare Part B | Medicare Part D |
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Page Last Modified:
07/01/2026 12:05 PM