Policy Snapshot
August 29, 2025
CMS has revised its Prescriber’s Guide to Medicare Part D Opioid Policies to help prescribers stay current with opioid-related coverage rules. The update clarifies that Part D plans have 3 days to send a second notice when implementing a coverage limitation, standardizes terminology by referring to medication-assisted treatment as medications for opioid use disorder (OUD), and adds guidance on Opioid Treatment Programs (OTPs).
Prescribers are encouraged to review the updated guide to ensure smooth patient care and compliance with Part D requirements.