Medicare Part D may no longer cover drugs for non-enroled prescribers

Medicare-Part-DPart D Prescriber Enrollment – Home

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Medicare Part D may no longer cover drugs that are prescribed by physicians or other eligible professionals who are neither validly enrolled, nor opted out of Medicare. The effective date for this requirement is June 1, 2016; however, all prescribers should enroll before January 1, 2016 to allow for the processing of applications and to ensure enrollees get their prescriptions.

Medicare Administrative Contractors (MACs) are here to help. Locate the MAC that services your geographic area.

Check Your Enrollment Status

Start by verifying that your application has been submitted and is awaiting processing:

Check the enrollment file on the CMS website to confirm your enrollment status in the Medicare program. Checking your status is easy; follow these simple steps.

Enroll to Prescribe

Enroll online: Use PECOS, the online application, to fast-track your enrollment. Our how-to guide is here to help.
OR
Enroll offline: You may mail in your paper application instead.

To learn more, visit our How to Enroll page.

Learn more about Prescriber Enrollment

Learn about the latest changes to our regulations and how it may impact you and your patients. Check theAbout page for a comprehensive list of resources, including FAQs and theProgram Integrity Manual (PIM).

 

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