№ lp_1_2_04602
Federal administrative form defining enrollment requirements and data submission obligations for dispensing entities and third-party support entities participating in the Medicare Drug Price Negotiation Program through the Medicare Transaction Facilitator Data Module.
Year: 2022
Country: United States
Program: Medicare Drug Price Negotiation Program
Legal authority: Inflation Reduction Act of 2022 (P.L. 117-169)
Statutory basis: Social Security Act sections 1191–1198
Administering agency: Centers for Medicare & Medicaid Services
Document type: Enrollment form appendix
Subject: Enrollment of dispensing entities and third-party support entities in the MTF Data Module
Covered drugs: Selected high-expenditure single source drugs under Medicare Part B and Part D
Price concept: Maximum Fair Price
Applicable period: Initial price applicability year 2027
Related systems: Medicare Transaction Facilitator Data Module
Intended filers: Dispensing entities and third-party support entities
Submission method: Medicare Transaction Facilitator Data Module
Regulatory guidance referenced: Medicare Drug Price Negotiation Program Final Guidance
Price: 8 / 10 USD
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