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We’re putting patients first. We pledge to put patients first in all of our programs – Medicaid, Medicare, and the Health Insurance Exchanges. To do this, we must empower patients to work with their doctors and make health care decisions that are best for them. This means giving them meaningful

Actived: Sunday Sep 20, 2020



The drug cards provide discounts of 15 to 20 percent or more off the Average Wholesale Price (AWP) for brand name drugs, and far larger AWP discounts for generic drugs. Larger AWP discounts are available on mail-order drugs through the drug cards, and these discounts translate into even lower actual prices for beneficiaries who prefer mail

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2020 PN Fact Sheet Clean - CMS

using drug manufacturer coupons for specific prescription brand drugs that have an available and medically appropriate generic equivalent. Increased Market Stability . for persons enrolled in off-Exchange individual market coverage that qualifies as minimum essential

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Coverage Gap Discount Program | CMS

Since the Coverage Gap Discount Program began on January 1, 2011, CMS has been analyzing Prescription Drug Event (PDE) data to understand how many discounts have been provided in the coverage gap and for which classes of prescription drugs.

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Part D Information for Pharmaceutical Manufacturers | CMS

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.

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Frequently Asked Questions (FAQs) | CMS

To help health care providers understand the Medicare and Medicaid EHR Incentive Programs, CMS has compiled a comprehensive list of frequently asked questions (FAQs) and answers*. Click here (PDF) to review EHR Incentive Program questions and answers related to the following topics:

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Pharmaceutical Manufacturer Patient Assistance Program

Pharmaceutical manufacturers may sponsor patient assistance programs (PAPs) that provide financial assistance or drug free product (through in-kind product donations) to low income individuals to augment any existing prescription drug coverage.

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Employer Group Waiver Plans (EGWPs) | CMS

This page provides important information on Employer Group Waiver Plan (EGWP) coverage under Medicare Parts C and D. Chapter 12 of the Prescription Drug Benefit Manual covers EGWPs from a Part D perspective; for comparable Part C information please consult Chapter 9 of the Managed Care Manual (MCM).

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COBRA Continuation Coverage | CMS

The plan is not obligated to send monthly premium notices or payment coupons. COBRA beneficiaries remain subject to the rules of the plan and therefore must satisfy all costs related to co-payments and deductibles. Other Coverage Considerations.

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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-05 Medicare Secondary Payer Centers for Medicare & Medicaid Services (CMS) Transmittal 21 Date: October 29, 2004 CHANGE REQUEST 3407

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CMS Forms List | CMS

The following provides access and/or information for many CMS forms. You may also use the "Search" feature to more quickly locate information for a specific form number or form title.

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