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Model Request for Additional Information

Model notice for Medicare Prescription Drug plans to follow to notify enrolle or prescriber that in order to process their request (tiering exception, formulary exxception, expedited redetermination, etc.) they need additional information from the physician or other prescriber

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

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.