Data / Federal rules / 2026-19535
Request for Information; Medicare Part D Reasonable and Relevant Pharmacy Contracting Standards
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on September 24, 2026. Comments are due by November 23, 2026.
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What the agency says
This request for information (RFI) solicits input from interested parties for purposes of establishing standards for reasonable and relevant pharmacy contract terms and conditions under the Medicare prescription drug benefit. Section 6223(a) of the Consolidated Appropriations Act, 2026 (CAA, 2026) amends section 1860D- 4(b)(1)(A) of the Social Security Act (the Act) to require Part D plan sponsors to permit any pharmacy that meets standard contract terms and conditions under the plan to participate as a network pharmacy of the plan. Section 6223(a) of the CAA, 2026 further requires that, notwithstanding any other provision of law, for plan years beginning January 1, 2029, such standard contract terms and conditions offered by Part D plan sponsors must be reasonable and relevant according to standards established by the Secretary of the Department of Health and Human Services. Finally, section 6223(a) of the CAA, 2026 requires the Secretary to issue this RFI for purposes of establishing such standards.
Key facts
- Document number
- 2026-19535
- Type
- Proposed rule
- Action
- Request for information
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- September 24, 2026
- Comments due
- November 23, 2026
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below, by November 23, 2026.
- Docket
- CMS-4217-NC
- Regulation ID (RIN)
- 0938-AW08
- Code of Federal Regulations
- 42 CFR 423
- Pages
- 5
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Published in September 2026
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.