Prescription Drug Program (Part D)


This page provides valuable CMS guidance, materials and information for the successful electronic submission of prescription drug event data.

For convenient navigation, the combined content of each sub-category located on the left side of the page is provided below.


Prescription Drug Program (Part D) Articles

PDE Return/Outbound File LayoutPDE Maximum Coverage Gap Discount Amount Computer-Based TrainingMedicare Advantage Prescription Help Desk2011 PDE Job Aids2012 Enrollment Job Aids2011 PDE Participant GuideCommon Prescription Drug Event Reporting Edits and Solutions Computer-Based TrainingWhat are CMS frequency requirements for submitting data?2012 PDE Regional TA Job Aids2011 PDE Slide Presentations2014 Part D Webinar (06/10/2014) Job Aid – Steps for Submitting Record of P2P Reconciliation Payments and Attestation of P2P Data2014 Part D Webinar (08/19/2014) Slide Presentations – Invoicing & Outlier Process and Dispute ResolutionDDPS and PRS SSNRI Updates - May 02, 2017On the PDE record, the amount fields allow for a sign character ( or -). What PDE fields can allow a negative amount?PDFS Reponse ReportsPDFS Response Report Layout2020 Annual PDE Data Submission TimelineReport Naming ConventionsDDPS Transaction Error Summary ReportPDE Accounting ReportDDPS Cumulative Beneficiary Summary Report PACEReceivable ReportPayable ReportPDE Inbound File LayoutPart D Payment Reconciliation ReportPDE Calculation and Reporting Computer Based TrainingPDE Maximum Coverage Gap Discount Amount Computer-Based Training (Text Only)Medicare Part D Sponsor Webinar2014 Part D Webinar (08/19/2014) Job Aid – Manufacturer Dispute Reason Codes2014 Part D Webinar (08/19/2014) Job Aid – Dispute Process Flow2014 PDE Reporting and Calculations Guidance2014 Part D Webinar (06/10/2014) Job Aid – Steps for Submitting DIR Report for Payment Reconciliation2014 Part D Webinar (06/10/2014) Slide Presentations – Overview of DIR Reporting Requirements, P2P Reconciliation, and Reconciliation Exclusion Process2012 Enrollment Regional TA Resource Guide2013 PDE Reporting and Calculations Guidance2012 PDE Regional TA Slide Presentations2012 Enrollment Regional TA MaterialsChanges to Monthly Reports Record LayoutsPRS Input Reports to Plans2011 Reconciliation WorkbookCoordination of BenefitsPRS Reconciliation Results Reports to Plans (effective October 14, 2018)PRS Inputs Reports to Plans (effective October 14, 2018)PDE Counting Memo (Excludes PACE Plans)Explanation of Sample P2P ReportsCommon Prescription Drug Event Reporting Edits and Solutions Computer-Based Training (Text Only)PDE Plan-to-Plan (P2P) Reconciliation Computer-Based Training (Text Only)PDE Plan-to-Plan (P2P) Reconciliation Computer-Based TrainingPotential Exclusion Warning and Exclusion from Reconciliation ReportsPRS Reconciliation Results Reports to PlansPDE Counting Rules (Excluding PACE Plans)2019 Annual PDE Data Submission Timeline 2014 Part D Webinar (08/19/2014) Job Aid – Outlier Process FlowInstructions: Requirements for Submitting Prescription Drug Event DataDDPS Cumulative Beneficiary Summary Report Non-PACENDC Subcategory CodesPRS Summary ReportsPDFS Edit LookupDDPS Edit LookupPrescription Drug Event Edit Code Listing - Effective July 1, 20202021 Annual PDE Data Submission Timeline2020 PDE Monthly Report Distribution Status