CMS Awards Prescription Drug Management Contract
CMS has announced that it has awarded a contract to NDCHealth, based in Atlanta, GA,
“to provide the electronic services as part of a system forcalculating Medciare Part D beneficiaries’ “True Out-Of-Pocket costs.” NDCHealth isrequired to provide routing of claims for benefits paid by entitiesother than Medicare back to the prescription drug plans to ensure thatwhat seniors pay at pharmacy counters takes into account the properlevel of their Medicare coverage. The $416,700, one-year contract withthree one-year extensions requires NDCHealth to develop an electronicsystem similar to systems that pharmacists already use to billinsurance plans for prescription drug claims. The contract alsoincludes up to $3.9 million for processing transactions during a singleyear. “