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Prescription Drug Benefit Manual

Guidance for Medicare providers with chapters from the Part D Prescription Drug Benefit Manual (PDBM).

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

Issue Date: October 03, 2018

Please look through the Downloads area below for Chapters from the Part D Prescription Drug Benefit Manual (PDBM). The following chapters of the PDBM are available under Related Links below: Chapter 3 on Eligibility and Enrollment; Chapter 4 on Creditable Coverage and Late Enrollment Penalty; and Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance.

Click the selection that best matches your information needs.  Please check back, as we will continue to update this page as manuals are revised.

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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.