Module 3: Medicare Prescription Payment Plan

Module Description

This module provides a comprehensive overview of the regulatory framework of the Medicare Prescription Payment Plan as well as CMS rules for election, billing, communications, and reporting. It will also examine eligibility requirements, the process for opting in and out of the program, and the responsibilities of plan sponsors and pharmacies in ensuring compliance and participant support.

Learning Objectives

At the completion of this activity, participants should be able to:

  • Explain the provisions of the Medicare Prescription Payment Plan and how it impacts Medicare Part D beneficiaries
  • Describe eligibility, payment calculation, and election process requirements
  • Discuss the role of community pharmacists in administering the Medicare Prescription Payment Plan benefit

 

Course summary
Available credit: 
  • 0.25 ACPE
    The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
Course opens: 
10/23/2025
Course expires: 
12/31/2027
Cost:
$0.00
Part of: 
Inflation Reduction Act (IRA) University

Faculty/Authors:

Geni Tunstall, JD
Associate Vice President, Regulatory Affairs
AMCP

Advisory Board and Contributing Authors

Melissa Andel, MPP
Principal
CommonHealth Solutions LLC

Crescent Moore, PharmD, PhD
SVP, Government Programs
LucyRx

Financial Relationship Disclosures:

Faculty/Reviewer/PlannerReported Relevant Financial Relationships
Geni Tunstall
Author		Individual Stocks/Stock Options: CVS Caremark
Melissa Andel
Ad board		None
Crescent Moore
Ad board		LucyRx, Salary, Stock ownership
Brooke Whittington
Planner		None
  • AMCP Staff have disclosed no relevant financial relationships.
  • If applicable, relevant financial relationships have been mitigated and documented.
  • Content has undergone a peer review to ensure content validity.

Accreditation:

ACPE UAN:0233-0000-25-066-H03-P • Activity Type: Knowledge-Based
Contact Hours: 0.25
Release Date: October 27, 2025 •  Expiration Date: June 30, 2028

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.

To receive credit for an online activity you must:

  • Review the full content of the activity.
  • Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  • Complete a specific activity evaluation.

Available Credit

  • 0.25 ACPE
    The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Price

Cost:
$0.00
Please login or register to take this course.