Medicare Part D Manufacturer Discount Program | Midpage

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Code of Federal Regulations

Subpart AA

Medicare Part D Manufacturer Discount Program

423.2700Basis and scope.423.2704Definitions.423.2708Conditions for coverage of drugs under Part D.423.2712Applicable discounts.423.2716Phase-in of applicable discount for certain manufacturers.423.2720Determination of phase-in eligibility.423.2724Effect of manufacturer acquisition on phase-in eligibility.423.2728Recalculation of phase-in eligibility determination.423.2732Use of third party administrator.423.2736Requirement for point-of-sale discounts.423.2740Negative invoice payment process for Part D sponsors.423.2744Prospective payments to Part D sponsors.423.2748Requirement to use the Health Plan Management System.423.2752Manufacturer Discount Program agreement.423.2756Manufacturer requirements.423.2760Audits.423.2764Dispute resolution.423.2768Civil money penalties.