Health Care and Life Sciences > Health Reform Resource Center > CMS Releases Revised Letter on Draft Guidance regarding Medicare Coverage Gap Discount Program
21 May '10

CMS released a letter to Part D sponsors providing draft guidance regarding the implementation of the Medicare Part D coverage gap discount program.  Although PPACA requires manufacturers to enter into agreements with CMS to provide these discounts in order for their drugs to be covered under Part D, the guidance states that because a conflict in timing--Part D sponsors were required to submit their 2011 formularies by April 2010 and CMS will not release the model manufacturer agreement until July/August--“CMS must allow coverage in 2011 of Part D drugs irrespective of manufacturer discount agreements.”