U S Department of Health and Human Services Improving the health, safety and well-being of America

Centers for Medicare & Medicaid Services Formulary Reference Files

End User Point and Click Agreement:

1 - The Formulary Reference Files (FRFs) are intended to be used by Medicare Part D plan sponsors for the purpose of HPMS formulary submission.

2 - The proxy National Drug Codes (NDCs) represented on the FRFs are used as a proxy for Part D plan sponsors to indicate their coverage of listed brand name, generic name, dosage form, strength, and route of administration of a specific drug products.

3 - Part D sponsors can cover alternative NDCs for the listed drug product.

4 - The FRFs are not Part D coverage lists. A drug product's representation on the CMS FRFs does not automatically indicate that that product is a Part D drug. Conversely, additional drug products not represented on the FRFs could satisfy the definition of a Part D drug.

5 - The FRFs are updated based on standard schedules. If a new Part D drug becomes available between FRF updates, Part D plan sponsors can cover the drug before its addition to the FRFs. If you are a Part D sponsor and would like to request that an approved drug product be evaluated for addition to the FRFs, please refer to the March 21, 2007 HPMS Memo for detailed instructions on this process.

6 - If you are a pharmaceutical manufacturer and market an approved drug product that is not represented on the FRFs, please do not contact CMS directly. Rather, direct any coverage questions to Part D sponsors, who can in turn contact CMS.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "Accept".

By clicking "Accept," you can proceed to the next page. Clicking "Don't Accept" will return you to the previous page.

 




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