Fallback prescription drug plan

Fallback prescription drug plan means a prescription drug plan (PDP) offered by a fallback entity that -
(1) Offers only defined standard or actuarially equivalent standard prescription drug coverage as defined in ยง 423.100;
(2) Provides access to negotiated prices, including discounts from manufacturers; and
(3) Meets all other requirements established for prescription drug plans, except as otherwise specified by CMS in this subpart or in separate guidance.


42 CFR § 423.855

Scoping language

As used in this subpart, unless specified otherwise-

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