Medicare Part D: Coverage and Rebate Pricing Essentials

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