Disputes

Pharmaceutical Drug Manufacturers are able to dispute quarterly invoices, as is covered under the Section V(e) of the Manufacturer Agreement, which states Drug Manufacturers must provide supporting evidence that is material, specific and relate to the dispute or issue.

The dispute reports that are generated as a result of dispute submissions are available for review and download in the CGDP Portal by authorized users.

The file layouts provided in the Manufacturer Dispute Information and Sponsor Dispute Information links will provide data on how to read these reports.

Disputes Articles

CGDP Contract Dispute File Dispute Edits (Effective February 8, 2015)Dispute Reasons (Effective February 8, 2015)Dispute Return File (Effective February 8, 2015)Dispute Layout Side by Side Comparison Dispute Submission File (Effective February 8, 2015)Dispute Resolution Report File Layout (Effective February 8, 2015)HPMS Memo-Updates to the Medicare Coverage Gap Discount Program Manufacturer Dispute and Appeals Submission Process Manufacturer Dispute Submission and Attachment Overview Dispute Return File [Effective 1/1/2025]Dispute Submission File [Effective 1/1/2025]Dispute Resolution Report File [Effective 1/1/2025]CGDP Contract Dispute File [Effective 1/1/2025]

Last Updated: 06/17/2019