Alternative prescription drug coverage

Alternative prescription drug coverage means coverage of Part D drugs, other than standard prescription drug coverage that meets the requirements of 423.104. The term alternative prescription drug coverage must be either -
(1) Basic alternative coverage (alternative coverage that is actuarially equivalent to defined standard coverage, as determined through processes and methods established under § 423.265(d)(2)); or
(2) Enhanced alternative coverage (alternative coverage that meets the requirements of § 423.104(f)(1)).


42 CFR § 423.100

Scoping language

As used in this part, unless otherwise specified-

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