Medicare Part D Electronic Prescribing Tools (42 CFR 423.128(d)(4)-(5) and 423.160(b)(1)) (CMS-10755)

The MMA authorizes CMS to require additional contract terms not inconsistent with the Part D statute. Under this authority, we are proposing to require that Sponsors offer a patient RTBT because we believe that it is appropriate to require that the formulary and benefit information be provided to enrollees in real time. Enrollees should have continuous access to this information, since drug pricing information is so dynamic.

The latest form for Medicare Part D Electronic Prescribing Tools (42 CFR 423.128(d)(4)-(5) and 423.160(b)(1)) (CMS-10755) expires 2029-02-28 and can be found here.