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Drug Alert: Nuedexta - Effect of Prior Authorizations (PA) on Potential Inappropriate Part D Billing for Non-Medically Accepted Indications

Guidance for a notification of the increase in Part D utilization of Nuedexta and encouraging plan sponsors to consider the implementation of utilization management edits to ensure appropriate use of the drug.

Download the Guidance Document

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

Issue Date: August 28, 2019

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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.