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January 7, 2016

Part D Prescriber Enrollment

Beginning January 1, 2016, 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.

If you currently receive payment from CGS for services rendered to patients with traditional Medicare, most likely no additional action is required of you. To verify your enrollment and/or order/referring status with Medicare, please check the Order and Referring link located at Data.CMS.govExternal Website or refer to the CMS Part D prescriber webpageExternal Website.

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