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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42—Public Health
  4. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. SUBCHAPTER B—MEDICARE PROGRAM
  6. PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
  7. Subpart AA—Medicare Part D Manufacturer Discount Program

42 CFR Part 423 - Subpart AA - Medicare Part D Manufacturer Discount Program

  • CFR
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  1. § 423.2700 Basis and scope.
  2. § 423.2704 Definitions.
  3. § 423.2708 Conditions for coverage of drugs under Part D.
  4. § 423.2712 Applicable discounts.
  5. § 423.2716 Phase-in of applicable discount for certain manufacturers.
  6. § 423.2720 Determination of phase-in eligibility.
  7. § 423.2724 Effect of manufacturer acquisition on phase-in eligibility.
  8. § 423.2728 Recalculation of phase-in eligibility determination.
  9. § 423.2732 Use of third party administrator.
  10. § 423.2736 Requirement for point-of-sale discounts.
  11. § 423.2740 Negative invoice payment process for Part D sponsors.
  12. § 423.2744 Prospective payments to Part D sponsors.
  13. § 423.2748 Requirement to use the Health Plan Management System.
  14. § 423.2752 Manufacturer Discount Program agreement.
  15. § 423.2756 Manufacturer requirements.
  16. § 423.2760 Audits.
  17. § 423.2764 Dispute resolution.
  18. § 423.2768 Civil money penalties.
Source:
91 FR 17594, Apr. 6, 2026, unless otherwise noted.

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