Spotlights
CMS National Pharmacy Inflation Reduction Act Educational Outreach Campaign
CMS is spearheading a National Pharmacy Educational Outreach Campaign on the Medicare Prescription Payment Plan, a provision of the Inflation Reduction Act (IRA). The presentation is intended to provide pharmacy professionals with information about the implementation of the Medicare Prescription Payment Plan which begins January 1, 2025. Interested parties can join any one of the ten recurring webinars that will begin Friday, September 6, 2024, and end on Monday, September 30, 2024. Please use this link to register: https://cms.zoomgov.com/webinar/register/WN_xCyx8ChnTjmKlCfApF4LQw#/registration.
PrEP for HIV: Prepare for Potential Medicare Part B Coverage
On July 12, 2023, CMS proposed to transition coverage of Preexposure Prophylaxis (PrEP) using FDA-approved antiretroviral drugs (oral or injectable) to prevent HIV to Medicare Part B. Currently, HIV PrEP drugs may be covered under Medicare Part D.
It’s critical that your patients have uninterrupted access to their HIV PrEP drugs. We’re encouraging you to prepare your systems now so you’re able to immediately transition to Part B coverage if we release a final National Coverage Decision (NCD).
Review our fact sheet (PDF) to learn more about how you can prepare for the possible upcoming coverage change, including information about enrollment, billing, claims processing, and coding.
