Medicare Part D: Coverage and Rebate Pricing Essentials

American Conference Institute Rx Drug Pricing and Rebate Fundamentals
November 8, 2022
2:00 PM - 4:30 PM ET

Healthcare attorney Melissa Wong will participate in a virtual discussion titled "Medicare Part D: Coverage and Rebate Pricing Essentials" during the American Conference Institute's Rx Drug Pricing and Rebate Fundamentals workshop. Ms. Wong's session will cover: 

  • identifying coverages under Part D
  • understanding the mechanics of Part D  
  • reporting of Part D rebates and Pharmacy Benefit Manager (PBM) administrative fees
  • reviewing Part D fraud and abuse concerns
  • examining Part D formulary requirements
  • developing rebate contracting strategies under Part D
  • taking advantage of plan Star Ratings
  • accounting for specialty pharmaceuticals
  • assessing potential legislative changes
  • understanding the Centers for Medicare & Medicaid Services (CMS) program design relative to the Part D Coverage Gap Discount
  • managing the logistics of payments to multiple plan sponsors
  • assessing Coverage Gap Discount Program (CGDP) payment disputes
  • conducting CGDP audits

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