Medicare Coverage Gap Discount Program Agreement Sample Contracts

ADDENDUM TO THE MEDICARE COVERAGE GAP DISCOUNT PROGRAM AGREEMENT FOR PARTICIPATION IN THE PART D SENIOR SAVINGS MODEL
Medicare Coverage Gap Discount Program Agreement • January 26th, 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 commencing 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, 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.

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MEDICARE COVERAGE GAP DISCOUNT PROGRAM AGREEMENT
Medicare Coverage Gap Discount Program Agreement • February 2nd, 2012

The Secretary, on behalf of the Department of Health and Human Services, and the Manufacturer, on its own behalf, for purposes of sections 1860D-14A and 1860D-43 of the Social Security Act (the Act), as set forth in the Patient Protection and Affordable Care Act of 2010 , Pub. L. 111-148, and the Health Care and Education Reconciliation Act of 2010,

MEDICARE COVERAGE GAP DISCOUNT PROGRAM AGREEMENT
Medicare Coverage Gap Discount Program Agreement • May 23rd, 2018

The Secretary, on behalf of the Department of Health and Human Services, and the Manufacturer, on its own behalf, for purposes of sections 1860D-14A and 1860D-43 of the Social Security Act (the Act), as set forth in the Patient Protection and Affordable Care Act of 2010, Pub. L. 111-148, and the Health Care and Education Reconciliation Act of 2010,

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Medicare Coverage Gap Discount Program Agreement • January 22nd, 2020
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Medicare Coverage Gap Discount Program Agreement • January 13th, 2020
Medicare Coverage Gap Discount Program CY 2015 Manufacturer Agreement Process
Medicare Coverage Gap Discount Program Agreement • May 14th, 2013

Manufacturers that do not currently participate in the Medicare Coverage Gap Discount Program (Discount Program) and wish to participate beginning Calendar Year (CY) 2015 must submit a Medicare Coverage Gap Discount Program Agreement and a Third Party Administrator Agreement (Agreements) to the Centers of Medicare & Medicaid Services (CMS) by January 30, 2014.

Page 3133 TITLE 26—INTERNAL REVENUE CODE § 5000D
Medicare Coverage Gap Discount Program Agreement • June 27th, 2024
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