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Advising the Congress on Medicare issues
MedPAC > Recommendations > Improving Medicare Part D (3)

Improving Medicare Part D (3)

June 15, 2016

The Secretary should change Part D to:

  • remove antidepressants and immunosuppressants for transplant rejection from the classes of clinical concern,
  • streamline the process for formulary changes,
  • require prescribers to provide standardized supporting justifications with more clinical rigor when applying for exceptions, and
  • permit plan sponsors to use selected tools to manage specialty drug benefits while maintaining appropriate access to needed medications.

Topics: Drugs, Devices, and Tests.