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Beneficiary-Level Point-of-Sale Claim Edits and Other Overutilization Issues

Guidance for Part D sponsors that they should no longer send copies of written beneficiary opioid point-of-sale (POS) claim edit notices to the Part D Policy mailbox (PartDPolicy@cms.hhs.gov).

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 25, 2014

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.