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The letter was released on May 17, 2018, by the Centers for Medicare & Medicaid Services (CMS). In this letter, CMS strongly advises its Medicare Part D plan sponsors to eliminate any clauses or agreements with pharmacists or pharmacy benefit managers that would prevent pharmacists from telling Medicare beneficiaries if their out-of-pocket costs would be lower if the medication was purchased for cash, rather than through the Part D plan . . .
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