Title 42, Part 427 — Medicare Part B Drug Inflation Rebate Program
21 sections
Section 427.10
Basis and scope.
Section 427.20
Definitions.
Section 427.100
Definitions.
Section 427.101
Identification of Part B rebatable drugs.
Section 427.200
Definitions.
Section 427.201
Computation of beneficiary coinsurance and adjusted Medicare payment for Part B rebatable drugs with price increases faster than inflation.
Section 427.300
Definitions.
Section 427.301
Calculation of the total Part B rebate amount to be paid by manufacturers.
Section 427.302
Calculation of the per unit Part B rebate.
Section 427.303
Determination of total number of billing units.
Section 427.304
Adjustments for changes to billing and payment codes.
Section 427.400
Definitions.
Section 427.401
Reducing the rebate amount for Part B rebatable drugs currently in shortage.
Section 427.402
Reducing the rebate amount for certain Part B rebatable drugs when there is a severe supply chain disruption.
Section 427.500
Definitions.
Section 427.501
Rebate Reports and reconciliation.
Section 427.502
Rebate Reports for applicable calendar quarters in calendar years 2023 and 2024.
Section 427.503
Suggestion of Error.
Section 427.504
Manufacturer access to Rebate Reports.
Section 427.505
Deadline and process for payment of rebate amount.
Section 427.600
Civil money penalty notice and appeals procedures.