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What is the Medicare Replacement Drug Demonstration?

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What is the Medicare Replacement Drug Demonstration?

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The Medicare Replacement Drug Demonstration (MRDD) is a new demonstration mandated under section 641 of the Medicare Modernization Act. Under this demonstration, Medicare will pay for certain drugs that replace other drugs that are currently covered under Medicare Part B. This includes certain drugs for rheumatoid arthritis, multiple sclerosis, cancer, and other serious diseases. Up until now, some of the drugs that treat these conditions were only covered under Medicare when provided in a doctor’s office. A complete list of covered drugs and conditions can be viewed below. In order to be eligible for this demonstration, you must: • have both Medicare A & B, • live in one of the 50 states or the District of Columbia, • have Medicare as your primary health insurance, and • have your doctor certify that you need one of the covered drugs for the listed indication. Because this demonstration is intended to increase access to drug coverage for Medicare beneficiaries, if you already have com

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