The Applications for Part D sponsors to offer qualified prescription drug coverage are completed by entities seeking approval to offer Part D benefits under the Medicare Prescription Drug Benefit program established by section 101 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and is codified in section 1860D of the Social Security Act (the Act).
The latest form for Solicitation for Applications for Medicare Prescription Drug Plan 2026 Contracts (CMS-10137) expires 2021-07-31 and can be found here.
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Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supplementary Document |