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

2014 Part D Webinar (08/19/2014) Job Aid – Manufacturer Dispute Reason Codes2011 PDE Job Aids2014 Part D Webinar (06/10/2014) Slide Presentations – Overview of DIR Reporting Requirements, P2P Reconciliation, and Reconciliation Exclusion ProcessPDE Accounting Report2019 Annual PDE Data Submission Timeline 2012 PDE Regional TA Slide PresentationsInstructions: Requirements for Submitting Prescription Drug Event Data2014 Part D Webinar (08/19/2014) Slide Presentations – Invoicing & Outlier Process and Dispute Resolution2012 Enrollment Job AidsPayable Report2012 Enrollment Regional TA MaterialsDDPS Cumulative Beneficiary Summary Report PACEDDPS and PRS SSNRI Updates - May 02, 2017PDFS Reponse ReportsMedicare Part D Sponsor WebinarPRS Reconciliation Results Reports to Plans (effective October 14, 2018)NDC Subcategory Codes2012 PDE Regional TA Job Aids2011 PDE Participant GuideDDPS Cumulative Beneficiary Summary Report Non-PACEPRS Reconciliation Results Reports to Plans2011 PDE Slide Presentations2020 Annual PDE Data Submission TimelinePDFS Response Report LayoutWhat are CMS frequency requirements for submitting data?Changes to Monthly Reports Record LayoutsPDE Counting Rules (Excluding PACE Plans)DDPS Edit LookupReport Naming Conventions2014 Part D Webinar (08/19/2014) Job Aid – Outlier Process FlowPRS Input Reports to PlansPDE Return/Outbound File Layout2013 PDE Reporting and Calculations GuidancePart D Payment Reconciliation ReportPRS Inputs Reports to Plans (effective October 14, 2018)Explanation of Sample P2P ReportsPDE Inbound File LayoutCoordination of Benefits2012 Enrollment Regional TA Resource GuideReceivable ReportMedicare Advantage Prescription Help Desk2014 Part D Webinar (08/19/2014) Job Aid – Dispute Process Flow2011 Reconciliation WorkbookPDFS Edit LookupPotential Exclusion Warning and Exclusion from Reconciliation ReportsOn the PDE record, the amount fields allow for a sign character ( or -). What PDE fields can allow a negative amount?PDE Counting Memo (Excludes PACE Plans)DDPS Transaction Error Summary Report2014 Part D Webinar (06/10/2014) Job Aid – Steps for Submitting Record of P2P Reconciliation Payments and Attestation of P2P Data2014 PDE Reporting and Calculations Guidance2014 Part D Webinar (06/10/2014) Job Aid – Steps for Submitting DIR Report for Payment ReconciliationPRS Summary Reports2021 Annual PDE Data Submission TimelinePrescription Drug Event Edit Code Listing - Effective July 1, 20212020 PDE Monthly Report Distribution StatusPDE Calculation and Reporting Computer Based Training (Text Only)2022 Annual PDE Data Submission TimelinePDE Inbound File Layout Effective 01/01/2022PDE Outbound File Layout Effective 01/01/20222021 PDE Monthly Report Distribution Status