Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Data Submission - Pharmacy File
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: How should prescription drug rebates be accounted for when reporting prescription drug costs for the reinsurance program?
Answer: When submitting pharmacy claims to the edge server, the reported paid amount does not need to be adjusted to reflect manufacturer rebates. Pharmacy rebates will not be considered in the calculation of reinsurance payments.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 06, 2013
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
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.