Additional Model Notices for CY 2017
Guidance for: This purpose of this memo is to announce the Centers for Medicare & Medicaid Services (CMS) 2017 model notice for a transition fill under the Medicare Part D prescription benefit. In
addition, this memo includes two model notices for a provisional supply for use once the Part D
prescriber enrollment requirement is enforced beginning on February 1, 2017.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 10, 2016
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.