Common Contracts
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ADDENDUM TO CONTRACT FOR THE OPERATION OF A VOLUNTARY MEDICARE PRESCRIPTION DRUG PLAN FOR PARTICIPATION IN THE PART D SENIOR SAVINGS MODELJune 8th, 2022
This voluntary Model, conducted pursuant to Section 1115A of the Act, is intended to exist for five plan years of the Part D Program, and commenced with plan year 2021. The purpose of this Model is to test a change to the Medicare Coverage Gap Discount Program to allow Part D sponsors, through eligible enhanced alternative plans, to offer a Part D benefit design that includes predictable, stable copays throughout the deductible, initial coverage, and coverage gap phases by offering supplemental benefits that apply, in the coverage gap, after manufacturers provide a discounted price for applicable drugs included in the Model without regard for the Special Rule for Supplemental Benefits.
