This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads.

Click the selection that best matches your informational needs.  Please check back as we will continue to update these resources regularly.

Please note that Transition related documents have been move to the "Part D Transition" page - click the link in "Links within CMS" to access the page.

Downloads
2010 Formulary Reference File (v09.28.09) [ZIP, 296KB] 2009 Formulary Reference File (v09.24.09) [ZIP, 443KB] 2010 Pricing Data Guidelines (v9.24.09) [PDF, 62KB] 2010 Calendar Year Pricing File Data Submission Calendar (v9.24.09) [PDF, 88KB] 2009 Plan Year Pricing Data Requirements and Submission Schedule (v05.06.08) [PDF, 186KB] Non-Matched National Drug Code (NDC) List (v10.21.09) [ZIP, 488KB] Model Guidelines and Formulary Key Drug Types (v4.0) [ZIP, 30KB] Formulary Change During the Plan Year [PDF, 72KB]
Related Links Inside CMS
Part D Manuals Page Part D Transition Guidance Page
Related Links Outside CMS
The United States Pharmacopeia (USP)

Page Last Modified: 10/20/2009 3:37:23 PM
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