Formulary Guidance
Guidance for Part D Sponsors on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 21, 2020
This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads.
Click the selection that best matches your informational needs. Please check back as we will continue to update these resources regularly.
Please note that Transition related documents have been move to the "Part D Transition" page - click the link in "Links within CMS" to access the page.
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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.