Electronic Prescription Program. The conference agreement requires the Secretary to develop electronic prescription standards. The standards apply to prescriptions for covered part D drugs and required information that are transmitted electronically under an electronic prescription drug program conducted by a PDP or MA plan. The program must provide for the electronic transmittal of information on eligibility and benefits (including formulary drugs, any tiered formulary structure, and prior authorization requirements), information on the drug being prescribed and other drugs listed in the patient’s medication history (including drug-drug interactions), and information on the availability of lower-cost, therapeutically appropriate alternative drugs. The conferees intend for prescribing health care professionals to have ready access to neutral and unbiased information on the full range of covered outpatient drugs available. Disclosure of information must meet the requirements of the HIPAA privacy rule and, to the extent feasible, be on an interactive, real-time basis. The conferees do not intend for the provision relating to “interactive, real-time” transmission of information to preclude an individual or entity from complying with the standards under this part by virtue of such individual’s or entity’s inability to transmit information on an interactive, real-time basis.
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Samples: Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Medicare Prescription Drug, Improvement, and Modernization Act of 2003
