Manufacturers may not engage in the financial reconciliation process between Medicare Part D plans and beneficiaries as part of the cost sharing “smoothing” program established by the Inflation Reduction Act, according to final guidance by the Centers for Medicare and Medicaid Services.
Key Takeaways
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Manufacturers can’t insert themselves in the reconciliation process between plans and beneficiaries, final guidance says.
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Beneficiaries with $600 single script cost sharing bill will...
The smoothing program is intended to make it easier for beneficiaries with very high-cost prescriptions to afford their co-pays by permitting monthly installments rather than demanding collection of the whole...
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