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.

PDE Return/Outbound File LayoutMedicare Advantage Prescription Help Desk2011 PDE Job Aids2012 Enrollment Job Aids2011 PDE Participant GuideWhat 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?2020 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 ReportMedicare 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 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 Reports2021 Annual PDE Data Submission Timeline2020 PDE Monthly Report Distribution StatusPDE Calculation and Reporting Computer Based Training (Text Only)2022 Annual PDE Data Submission Timeline2021 PDE Monthly Report Distribution StatusPDE Outbound File Layout Effective 03/04/2022PDE Inbound File Layout Effective 03/04/2022Potential Exclusion Warning and Exclusion from Reconciliation ReportsPDE Outbound File Layout Effective 10/24/2022PDE Inbound File Layout Effective 10/24/20222022 PDE Monthly Report Distribution StatusDDPS Edit LookupPDFS Edit Lookup2023 PDE Monthly Report Distribution StatusOther TrOOP Amount Indicator Summary Report LayoutPDE Inbound File Layout 2023PDE Outbound File Layout 20232023 Annual PDE Data Submission Timeline2024 Annual PDE Data Submission TimelineDDPS Edit Spreadsheet Effective 01/01/2024PDFS Response Report Layout2023 PDE Monthly Report Distribution StatusPDE Inbound File Layout Effective 01/01/2024PDE Outbound File Layout Effective 01/01/2024PDE Inbound File Layout Effective 01/01/2025IRA Subsidy PDE Detail Report 45 LayoutIRA Subsidy Reconciliation Inputs Report 48 LayoutIRA Subsidy PDE Detail Response Report 47 LayoutIRA Subsidy Reconciliation Results Report 49 LayoutKey Changes to Medicare Part D in 2025: An Overview for PACE Organizations April 16, 2024PDE Inbound File Layout Effective 05132024PDE Outbound File Layout Effective 05132024DDPS Edit Spreadsheet Effective 05132024PACE User Group Slides - May 22, 2024IRASA Edit Spreadsheet DDPS Edit Spreadsheet Effective 07012024IRA Subsidy PDE Detail Response Report 46 Layout2025 Annual PDE Data Submission TimelineDDPS Edit Spreadsheet Effective 01/01/2025PDE Outbound File Layout Effective 01/01/20252024 PDE Monthly Report Distribution StatusReport 04: DDPS Cumulative Beneficiary Summary Report LINET - Effective February 2025Report 04: DDPS Cumulative Beneficiary Summary Report PACE - Effective February 2025Report 40: P2P Accounting Report - Effective February 2025Report 41: P2P Receivable Report - Effective February 2025Report 42: P2P Part D Payment Reconciliation Report - Effective February 2025Report 43: P2P Payable Report - Effective February 2025Report 44: Other TrOOP Amount Indicator Summary Report - Effective February 2025Report 25: DDPS Cumulative Beneficiary Summary Report - Effective 2025Report 04: DDPS Cumulative Beneficiary Summary Report Non-PACE - Effective February 2025