Implementation of the Medicare Modernization Act: Delivering Prescription Drugs to Dual Eligibles : Hearing Before the Special Committee on Aging, United States Senate, One Hundred Ninth Congress, First Session, Washington, DC, March 3, 2005 |
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Page 6
... formulary but isn't aware of what is covered by the plan or isn't aware of the exceptions process . We are going to review these plans as part of our approval process and we are not going to approve any drug plan unless its transition plan ...
... formulary but isn't aware of what is covered by the plan or isn't aware of the exceptions process . We are going to review these plans as part of our approval process and we are not going to approve any drug plan unless its transition plan ...
Page 17
... formulary to include at least two drugs in each approved category and class , unless only one drug is available for a particular category or class . This requirement , however , should be viewed as a minimum and plans ... formularies . CMS ...
... formulary to include at least two drugs in each approved category and class , unless only one drug is available for a particular category or class . This requirement , however , should be viewed as a minimum and plans ... formularies . CMS ...
Page 18
... plan design , using clear benchmarks that plans can utilize as a guide in building formularies and structuring their ... formulary to a medication that is on the list . The process must address situations where a beneficiary seeks to ...
... plan design , using clear benchmarks that plans can utilize as a guide in building formularies and structuring their ... formulary to a medication that is on the list . The process must address situations where a beneficiary seeks to ...
Page 22
... plan decisions on coverage determinations . As a result , enrollees will quickly receive decisions about medically necessary drugs that are not covered by a plan's formulary . Generally , plans must make their decisions in no less than ...
... plan decisions on coverage determinations . As a result , enrollees will quickly receive decisions about medically necessary drugs that are not covered by a plan's formulary . Generally , plans must make their decisions in no less than ...
Page 29
... plan , that certain drugs are not on the formulary and to work out a transition ahead of time . If that doesn't happen before January 1 and the patient just shows up in the pharmacy , as you said , the plan has to have an effective ...
... plan , that certain drugs are not on the formulary and to work out a transition ahead of time . If that doesn't happen before January 1 and the patient just shows up in the pharmacy , as you said , the plan has to have an effective ...
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access to medically addition antidepressants antipsychotic appeals process assisted living facilities auto-enrolled barbiturates beneficiaries with incomes benzodiazepines Chairman Smith CLARK Congress cover coverage determination current medications disabilities drug costs dual eligible beneficiaries dually eligible effective enrollees ensure exceed full-benefit dual eligible generic/preferred multiple source going implementation individuals January KITCHIN long-term care pharmacies low-income beneficiaries low-income subsidy managed MARK MCCLELLAN MCCLELLAN Medicaid coverage Medicaid plans medically necessary treatments Medicare and Medicaid Medicare beneficiaries Medicare drug benefit Medicare Modernization Act Medicare Part D Medicare prescription drug Medicare/Medicaid Mental Health million dual eligibles nursing facility nursing home residents Omnicare Oregon outreach patient payment percent pharmacist pharmacy services physician population premiums prescription drug benefit prescription drug coverage prescription drug plans protections regulations require Senator KOHL seniors SPAP sure Term Care Pharmacy Thank timeframe tion transition period transition plans vulnerable Wisconsin
Popular passages
Page 4 - We are very pleased to have you here, and we look forward to your testimony. STATEMENT OF MARK H.
Page 58 - NSC and in the Department of Health and Human Services Office of Inspector General (OIG), as well as DMEPOS suppliers and their representatives.
Page 7 - ... OSBORN. I believe we can catch all this type of problem as we build up the expertise we need, which we are doing as fast as we can. Senator RANDOLPH. You are committed, Dr. Osborn, to working on this problem just as quickly, expeditiously, but realistically, as you can ; is that right? Dr. OSBORN. Yes. The CHAIRMAN. Thank you very much, Doctor. (The prepared statement of Dr. Osborn follows:) STATEMENT OF ELBURT F. OSBORN, DIRECTOR...
Page 4 - Chairman, for this hearing, and I look forward to hearing from our witnesses.
Page 1 - US SENATE, SPECIAL COMMITTEE ON AGING, Washington, DC. The committee convened, pursuant to notice, at 2 pm, in room SD-628, Dirksen Senate Office Building, Hon.
Page 29 - Association, the National Alliance for the Mentally 111, the National Mental Health Association, and the National Foundation for Depressive Illness.
Page 62 - Medicare discount card program, and it is the needs of men and women who cannot afford needed medicine that we bring to you. The Medicare Rights Center The Medicare Rights Center ("MRC") is the largest independent source of Medicare information and assistance in the United States. Founded in 1989, MRC helps older adults and people with disabilities get good affordable health care. Day in and day out we work to assist people with Medicare access needed health care. Tens of thousands of callers use...
Page 41 - I am grateful for the opportunity to testify today on behalf of the men and women who comprise this vital organization.
Page 34 - Smith, members of the committee, I would like to first thank you for giving me this opportunity to testify on this very important matter.
Page 15 - Today, a partnership of nearly 100 major health care organizations, including providers, advocacy entities, plans and employers to inform beneficiaries about the new drug benefit.