05/04/2021

Medicare Pharmacy Benefits Final Rule Addresses Cost Sharing Limits, Special Enrollment Periods, Data Collection from PBMs for 2022

On April 30, 2021, the Centers for Medicare & Medicaid Services (CMS) released part two of the Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Standards final rule (NBPP). The rule finalizes some of the standards in the proposed rule for states, exchanges, non-federal governmental plans, issuers in the individual and small-group markets (including those that participate in the federally facilitated exchange direct enrollment program), and web brokers. Select highlights are summarized below. READ MORE