CMS logo. EGWP & PDE REPORTING. Amanda Johnson Division of Payment Reconciliation Medicare Plan Payment Group . September 5, 2012. Image of spilled med capsules. Disclaimer. This presentation is not meant to replace existing guidance or forthcoming official guidance. . 2. Purpose.
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NPP = GDC – (Patient Pay + CPP + PLRO + Other TrOOP + LICS + Reported Gap Discount)
$10.00 will count towards TrOOP
$30.00 will count towards TrOOP
*Current policy of placing the dispensing fee and vaccine administration fee outside of the Coverage Gap when possible will remain in effect in 2013.