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PART D SIC DRUG APPEAL CASE FILE TRANSMITTAL FORM Appeal Information (Check one for each line) a. Priority: b. Appeal Type: c. Out of Compliance: Expedited Prospective Yes Standard Retrospective No

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What is part d drug case?

Part D drug case refers to a specific type of drug case related to Medicare Part D prescription drug coverage.

Who is required to file part d drug case?

Pharmacies and other prescription drug providers who participate in the Medicare Part D program are required to file part d drug cases.

How to fill out part d drug case?

Part D drug cases can be filled out electronically using the CMS-10118 form provided by the Centers for Medicare and Medicaid Services (CMS).

What is the purpose of part d drug case?

The purpose of part d drug case is to ensure accurate reporting and accountability of prescription drug transactions for Medicare beneficiaries under Part D.

What information must be reported on part d drug case?

Part D drug cases must include information such as the beneficiary's name, prescription details, drug costs, pharmacy information, and any applicable rebates.

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