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Accession Number PB2013-101727
Title Medicare Part D Coverage Gap: Discount Program Effects and Brand-Name Drug Price Trends.
Publication Date Sep 2012
Media Count 47p
Personal Author N/A
Abstract As part of Medicare's Part D Coverage Gap Discount Program (Discount Program), the Centers for Medicare & Medicaid Services (CMS), located within the Department of Health and Human Services (HHS), oversees the provision of discounts by plan sponsors to eligible beneficiaries when they purchase brand-name drugs and monitors that discounts are paid for by drug manufacturers. CMS checks prescription drug data to verify that sponsors provide accurate discounts at the point-of-sale to eligible beneficiaries in the coverage gap. These checks include verifying whether a beneficiary has reached the coverage gap and that the plan sponsor has calculated the discount amount correctly. CMS also tracks that manufacturers pay plan sponsors for the discounts sponsors have provided to beneficiaries and has implemented a dispute resolution process for manufacturers disputing discount payment amounts. CMS also performs other activities such as monitoring beneficiary complaints related to the program.
Keywords Brand-name drugs
Discount programs
Drug costs
Drug manufacturers
Patient Protection and Affordable Care Act

Source Agency General Accounting Office
NTIS Subject Category 44K - Health Services
57E - Clinical Medicine
Corporate Author Government Accountability Office, Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1303
Contract Number N/A

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