Prescribers
The Part D Qualified Independent Contractor (QIC) is responsible for conducting reconsiderations of adverse coverage determinations and adverse redeterminations for covered drug benefit or review of an At-Risk Determination made by Part D plans [stand-alone prescription drug plans (PDPs), Medicare Advantage Prescription Drug Plans (MA-PDs), and cost plans that offer qualified prescription drug coverage] including the amount of cost sharing, if any, that the enrollee is required to pay for a drug.
Drug Benefit Reconsideration and DMP At-Risk Appeals
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United States Postal Service (USPS):
C2C Innovative Solutions, Inc.
Part D Drug Reconsiderations
P.O. Box 44166
Jacksonville, FL 32231-4166 |
UPS / FedEx ONLY:
C2C Innovative Solutions, Inc.
Part D Drug Reconsiderations
301 W. Bay St., Suite 1110
Jacksonville, FL 32202 |
Telephone for Enrollees Only |
(833) 919-0198 (Toll Free) |
Fax for Enrollees Only – Expedited Appeals |
(833) 710-0579 (Toll Free) |
Fax for Enrollees Only – Standard Appeals |
(833) 710-0580 (Toll Free) |