August 15, 2022

Health

Its all about the Health

How to Submit Data for the QHP Pharmacy Benefit Manager Drug Data, Pricing and Rebate Review

1 min read

The Centers for Medicare & Medicaid Services (CMS) requires pharmacy benefit managers (PBMs) and QHP issuers that do not contract with PBMs to submit prescription drug benefit pricing and rebate data to CMS as a requirement of the Qualified Health Plan Pharmacy Benefit Manager Drug Data, Pricing and Rebate Review (QHP PBM DPR2). This video walks through preparing and submitting this data in the Health Insurance Oversight System (HIOS), and managing the Pre-Submission Issuer List that informs CMS of issuers submitting on their own behalf or the issuers for which a PBM submits data.

News Source: CMSHHSgov

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