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Category |
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Medicare Modernization Act
Monitoring
Outreach
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Date Created |
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| 06/10/2004 04:20 PM |
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Date Updated |
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| 06/14/2004 02:28 PM |
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Could CMS post more specific information about the rules on how sponsors can change the formularies and drug prices? |
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Question |
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Could CMS post more specific information about the rules on how sponsors can change the formularies and drug prices? |
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Answer |
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A sponsor will have an opportunity once a week to change its formulary, including adding and deleting covered discount card drugs offered for a negotiated process that is reported on the CMS price comparison website and/or the sponsor's electronic media, provided that the baseline formulary requirements continue to be met, and appropriate public disclaimers are associated with these changes. CMS does not require that beneficiaries receive advance notice of changes.
Other than changes from time to time in a card's covered discount card drugs offered for a negotiated price, CMS would expect product and service offerings related to the covered discount card drugs to remain stable across a calendar year. To the extent that changes to products or services are necessary, particularly a deletion, then CMS would expect to be notified, and the sponsor's information and outreach materials to be modified, in advance of implementing the change to avoid any beneficiary confusion.
Additional information can be found on this item under Drug Card Sponsor Frequently Asked Questions at the following location: Drug Card Sponsor Frequently Asked Questions.
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