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42 CFR §423.2300

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
This subpart implements provisions included in sections 1860D-14A and 1860D-43 of the Act. This subpart sets forth requirements regarding the following:
  1. (a)Condition for coverage of applicable drugs under Part D.
  2. (b)The Medicare Coverage Gap Discount Program Agreement.
  3. (c)Coverage gap discount payment processes for Part D sponsors.
  4. (d)Provision of applicable discounts on applicable drugs for applicable beneficiaries.
  5. (e)Manufacturer audit and dispute resolution processes.
  6. (f)Resolution of beneficiary disputes involving coverage gap discounts.
  7. (g)Compliance monitoring and civil money penalties.
  8. (h)The termination of the Discount Program Agreement.