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Drug Certificate Template  Form

Drug Certificate Template Form

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How to Complete the Prescription Drug Template Issuers seeking to offer qualified  health plans or QHPs, including   stand-alone dental plans, or SADPs, on the  Federally-facilitated Exchange must submit a   completed QHP Application per CMS guidelines. As part of the QHP certification process,   issuers are asked to fill out several templates  with issuer- and plan-level data. These templates,   along with any supporting documentation  submitted, comprise an issuer’s QHP Application.  Among these templates is the Prescription  Drug Template. The Prescription Drug Template   collects formulary information associated with an  issuer’s plans. A formulary contains cost sharing   information for drug benefits. The template  creates unique formulary IDs that are later mapped   to plans entered in the Plans & Benefits Template. To download the Prescription Drug Template and   applicable instructions, visit the Prescription  Drug webpage of the QHP certification

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