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Part D 2014 Draft Call Letter Addresses Automatic Rx Refills, Drug Safety Issues

 
• By Gregory Twachtman and Cathy Kelly

CMS instructions to Part D sponsors cite elimination of waste as a reason to require plans to confirm members want a refill. Draft call letter also addresses expanding drug utilization reviews beyond opioids, added controls on compounded drugs.

Medicare Part D prescription drug plan sponsors are to instruct pharmacies, both retail and mail-order, to obtain beneficiary consent before refilling a prescription, according to a proposed program change that will go into effect for the 2014 plan year.

The instructions are found in the CMS draft “call letter” for 2014, which informs Part D sponsors on planned changes...

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