Documentation of Pharmacies' Prescription Drug Event Data
Drug plan sponsors must submit prescription drug event records, which is a summary record of individual drug claim transactions at the pharmacy, for the HHS Secretary to determine payments to the plans (Social Security Act § 1860D-15(f)(1)). We will determine whether Medicare Part D prescription drug event records submitted by the selected pharmacies were adequately supported and complied with applicable Federal requirements. We will also conduct additional reviews of selected retail pharmacies identified in a prior OIG report as having questionable Part D billing.
|Announced or Revised||Agency||Title||Component||Report Number(s)||Expected Issue Date (FY)|
|October 2017||Centers for Medicare & Medicaid Services||Documentation of Pharmacies' Prescription Drug Event Data||Office of Audit Services||W-00-17-35411; various reviews||2018, 2019|