On Sep. 24, HHS issued a request for information on Medicare Part D pharmacy contracting standards.
HHS issued a Request for Information (RFI) seeking input on standards for reasonable and relevant pharmacy contract terms and conditions under Medicare Part D program.
PREOPOSED
RFI follows 2026 Consolidated Appropriations Act, which requires Part D plan sponsors to allow pharmacies meet plan’s contract terms to participate as network pharmacies.
Directs HHS to establish standards for reasonable and relevant contract terms and conditions by first Monday in Apr. 2028, effective for plan years starting Jan. 1, 2029.
HHS is also seeking information on pharmacy reimbursement and dispensing fees, current contracting practices, and trends in contract terms and transparency.
It is also seeking input on pharmacy quality and performance measures, auditing, dispensing limitations, clarifications to current regulations, operational considerations.
