Medicare Prescription Drug Benefit Manual

Here you will find a link to the CMS Medicare Prescription Drug Manual which contains chapters on enrollment, marketing, exceptions and appeals, formulary requirements and more

The Medicare Prescription Drug Benefit Manual provides guidance on the following Medicare Part D topics. 

Chapter 2 - Part C and D Marketing Guidelines       

Chapter 3 - PDP Enrollment and Disenrollment Guidance       

Chapter 5 - Benefits and Beneficiary Protections   

Chapter 6 - Part D Drug and Formulary Requirements      

Chapter 7 - Quality Improvement and Medication Therapy Management

Chapter 9 - Fraud, Waste and Abuse    

Chapter 14- Coordination of Benefits Guidelines

Chapter 18 of the Prescription Drug Benefit Manual - Part D Enrollee Grievances

Click on any of the chapters above to go directly to that chapter.  Click here to go to the Table of Contents.