Medicare Part D

With GPM’s Expertise, Your Medicare Part D Compliance is Assured.

To stay in compliance with ever changing Medicare Part D requirements, you need more than a PBM partner who stays knowledgeable about new regulations.

 

You need a PBM that can promise you a quick and seamless integration of each new change.

 

At Global Pharmacy Management our Medicare Programs staff has worked with CMS since Medicare Part D’s inception in 2006. Our staff’s proven relationship with CMS has kept dozens of MAPDs, PDPs and SNPs in continuous compliance while feeling supported in managing their Part D benefits.

 

We help our clients by offering the following Medicare Part D Services and Support:

 

Medicare Part D Services

  • Part D Formulary Support
  • National Pharmacy and Therapeutics (P&T) Committee
  • Medication Therapy Management (MTM)/Drug Utilization Review (DUR)
  • Claims Processing and Adjudication
  • Explanation of Benefit (EOB) Processing
  • E-Prescribing
  • Pharmacy Network Administration
  • Coverage Determinations (Prior Authorizations)
  • Rebate Contracting and Management
  • CMS Reporting (as required)
  • Prescription Drug Event (PDE) Processing
  • Year-End Financial Reconciliation (PDE/DIR)

Value-Added Services

  • Compliance Programs
  • New Contract Applications, Service Area Expansions and Part D Bids
  • CMS Audit Support
  • Pharmacy Member Services
  • Network Pharmacy Audits
  • Quality Assurance
  • Part D Reporting Submission
  • Health Plan Management System (HPMS) Support
  • Part D Website Development and Support
  • Part D Marketing Materials
  • CMS Guidance Updates
  • GeoAccess Reports
  • Part B Processing
You can save on health care with a transparent PBM plan. Call GPM today at 1-855-747-4GPM for a FREE consultation.