Common Contracts
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ADDENDUM TO THE MEDICARE COVERAGE GAP DISCOUNT PROGRAM AGREEMENT FOR PARTICIPATION IN THE PART D SENIOR SAVINGS MODELJanuary 14th, 2021
This voluntary Model, conducted pursuant to Section 1115A of the Act, is intended to exist for five plan years of the Part D Program commencing with plan year 2021. The purpose of this Model is to test a change to the Manufacturer Coverage Gap Discount Program to allow Part D sponsors, through eligible enhanced alternative plans, to offer a Part D benefit design that includes predictable, standard copays in the deductible, initial coverage, and coverage gap phases by offering supplemental benefits that apply after manufacturers provide a discounted price for applicable drugs included in the Model. CMS affirms that nothing in this Addendum shall alter or affect the determination of incurred costs as described in § 1860D-2(b) of the Act.
