Print Page   |   Contact Us
Community Search
CMS Revised Standardized Pharmacy Notice (CMS-10147)

Beginning with the 2012 plan year, pharmacies must begin distributing a specific notice to Part D enrollees when a prescription cannot be covered (“filled”) under the Medicare Part D benefit at the point-of-sale (POS). The regulation requires distribution of this written notice as of January 1, 2012.  CMS recognizes that plan sponsors may need additional time to ensure that operations and systems are in place to fully comply with this requirement. Action for noncompliance will not be taken against a plan sponsor prior to May 1, 2012.  Even though a 90 day implementation period has been given for this compliance, it is expected that pharmacies will begin distributing the notice to patients immediately. 

Pharmacies may want to contact their system vendor (if applicable) to request that they automate the process so that when a claim rejects, or is rejected by Part D and paid by a supplemental plan, the notice automatically prints.

A Spanish version of the notice will be posted to the CMS website once OMB has approved the translated version of the notice.

Questions
For questions concerning the standardized pharmacy notice, please send an email to: PartD_Appeals@cms.hhs.gov.

Resources:
February 2012 Memo from CMS regarding the Revised Standardized Pharmacy Notice (CMS-10147)
October 2011 Memo from CMS regarding the Revised Standardized Pharmacy Notice (CMS-10147)
Form Instructions for Medicare Prescription Drug Coverage and Your Rights Standardized Pharmacy Notice (CMS-10147)
Approved Medicare Prescription Drug Coverage and Your Rights Form - Word format

Sign In


Forgot your password?

Join APA Today!

Latest News
APA CALENDAR

2/20/2015 » 2/22/2015
2015 APA Mid-Winter Conference

4/17/2015 » 4/19/2015
2015 Southern Turn

6/21/2015 » 6/24/2015
APA 134th Annual Convention & Trade Show

HOT TOPICS
2015 Proposed
Academy of Pharmacy
Bylaw Changes
:
Posted 1/16/15
2015 Mid-Winter Conference:
Feb 20-22, 2015
Guntersville, AL
Register Online
The Southern Turn:
April 17-19, 2015
New Orleans, LA
Register Online
AL State Board of Pharmacy: 
Nominations Accepted
for Non-Designated
Position

2015-16 APA Student Representatives:
Nomination and
Application Forms

2015 APA Member Awards:Nominate Someone Today!
Scale Back Alabama 2015:Register as a Coordinator
Support the APA PAC
Donate Today!
APA Events in 2015:
Important Dates and More Information
Journal CE Articles
2015 APA Poison Prevention Art Contest:
ENTER NOW