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e-CFR data is current as of August 6, 2020


42 CFR--PART 423

View Printed Federal Register page 84 FR 23883 in PDF format.

Amendment(s) published May 23, 2019, in 84 FR 23883

Effective Dates: Jan. 1, 2021

17. Effective January 1, 2021, §423.160 is amended by adding paragraph (b)(7) to read as follows:

§423.160   Standards for electronic prescribing.

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(b) *  *  *

(7) Real time benefit tools. No later than January 1, 2021, implement one or more electronic real-time benefit tools (RTBT) that are capable of integrating with at least one prescriber's e-Prescribing (eRx) system or electronic health record (EHR) to provide complete, accurate, timely, clinically appropriate, patient-specific formulary and benefit information to the prescriber in real time for assessing coverage under the Part D plan. Such information must include enrollee cost-sharing information, clinically appropriate formulary alternatives, when available, and the formulary status of each drug presented including any utilization management requirements applicable to each alternative drug.

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