|[September 03, 2014]
FDB Releases Medicare Part D Module to Support CMS Compliance
SOUTH SAN FRANCISCO, Calif. --(Business Wire)--
First Databank (FDB), the leading provider of clinical
drug knowledge that improves medication-related decisions and
patient outcomes, today announced the release of the FDB
Medicare Part D Module™. The new drug knowledge codifies several
Centers for Medicare & Medicaid Services (CMS) coverage rules, enabling
Part D plan sponsors-and their claims processors and pharmacy benefit
managers (PBMs), pharmacy providers, physicians, long-term care
organizations and other related entities-to more easily and consistently
manage existing and new CMS rules, as well as determine which of these
existing rules apply to new drugs that enter the market.
Extensive Medicare Part D program oversight from CMS, including current
policies and frequent changes aimed at providing improved services to
its beneficiaries, has intensified the need for FDB customers and other
stakeholders to access information that enables them to efficiently and
effectively manage coverage and participation rules. The content in the
FDB Medicare Part D Module is intended to be integrated into the
computer systems of those entities that prescribe covered drugs,
dispense prescriptions, adjudicate the prescription drug claims, and
report on various coverage and quality of care measurements designed for
efficient implementation of the Medicare Part D program.
The FDB Medicare Part D Module provides National Drug Code (NDC)-level
information for the following:
Acetaminophen Quantity: Aids in the calculation of the maximum daily
dose of acetaminophen to prevent accidental overdose.
Morphine Equivalent Doses: Aids in the conversin and calculation of
the total morphine equivalent dose for opioid-containing drug
products. This assists in determining if the morphine daily quantity
threshold is exceeded.
Comprehensive NDC SPL Data Elements (NSDE) Information: Identifies
drugs eligible for coverage under Medicare Part D using the following
elements: NDC, Marketing Category, Marketing Start Date and Marketing
Short Cycle Dispensing: Facilitates the identification of drugs that
are subject to the 14-day dispensing rules for pharmacies providing
services to long-term care facilities.
Star Ratings: Provides medication listings that support CMS Medicare
Part D quality of care initiatives and plan ratings.
"As Medicare Part D enrollment numbers continue to grow, so does the
complexity of the regulations," said Keith Fisher, RPh, market manager,
FDB. "Our vision is to provide, in a single, convenient source, relevant
information that plan providers need in order to keep pace with an
ever-changing compliance environment. By using the FDB Medicare Part D
Module to manage their Medicare Part D drug lists, our customers can
enjoy peace of mind knowing they can focus their efforts on serving the
needs of their patients and members."
About First Databank (FDB)
FDB (First Databank), part of the Hearst Health network, is the leading
provider of drug knowledge that helps healthcare professionals make
precise medication-related decisions. With thousands of customers
worldwide, FDB enables our information system developer partners to
deliver a wide range of valuable, useful, and differentiated solutions.
As the company that virtually launched the medication decision support
category, we offer more than three decades of experience in transforming
drug knowledge into actionable, targeted, and effective solutions that
improve patient safety and healthcare outcomes. For a complete look at
our solutions and services please visit http://www.fdbhealth.com
or follow us on Twitter
About Hearst Health
FDB is part of the Hearst Health network, which also includes Zynx
(formerly Milliman Care Guidelines) and Homecare
Homebase. The mission of the Hearst Health network is to help guide
the most important care moments by delivering vital information into the
hands of everyone who touches a person's health journey. Each year in
the U.S., care guidance from the Hearst Health network reaches 76% of
discharged patients, 133 million insured individuals, 20 million home
health visits, 1.88 billion retail pharmacy prescriptions and 3.26
billion prescription claims. Extensions of the Hearst Health network
include Hearst Health Ventures and the Hearst Health Innovation Lab.
© 2014 First Databank, Inc. Part of the Hearst Health network. All
trademarks mentioned herein are the properties of their respective
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