Zynchros Part D Pro™
For plan sponsors participating in the Medicare Part D program, keeping up-to-date with CMS mandates and deadlines is critical. Zynchros’ Part D Pro™ is purpose-built to streamline the submission and reporting processes required for compliance.
Reduce the time and cost of Medicare Part D participation
Part D Pro automates the most time-consuming tasks required for Medicare Part D participation, including:
- CMS Proxy List updates
- USP classifications
- HPMS formulary submission file
- Step Therapy assignment
- Destination Rx Plan & Price Finder file
- Negative Formulary Change template
- Formulary Key Drug Type (FKDT) coverage check
- “All or Sufficiently All” coverage check
- Member Formulary Reporting
Manage Part D Formularies with Ease
Part D Pro includes a comprehensive drug database with the latest CMS Formulary Reference File (“NDC Proxy List”) so you can be sure you're creating an accurate formulary for the current Part D plan year. Zynchros maintains the Proxy List and provides the appropriate USP classifications for new proxy items as CMS issues updates and guidance. For enhanced plans, you can easily manage non-proxy products together with proxy items in the same formulary.
Submit Part D Formularies with Confidence
Part D Pro is designed to optimize the formulary creation, maintenance and export processes for a successful formulary submission to CMS. When your formulary is ready, the Formulary Validation Tool performs ten distinct checks on your Medicare Part D formulary to ensure accuracy and consistency prior to your uploading your HPMS file to CMS.
The Formulary Comparison Tool allows you to compare new submissions to your previous submission file and highlights every change so you can review every change to eliminate unintended/unauthorized changes.
Part D Pro effortlessly generates the required HPMS Formulary File for submission to CMS. You can also use Part D Pro to fulfill the Medicare Part D requirement for the Destination Rx Plan & Price Finder online application. A simple export can be generated and submitted via upload directly to CMS, your claims processor or PBM.
Create Compliant Abridged and Comprehensive Member Formularies
With Part D Pro, it's easy to export formulary data organized by therapeutic class to create abridged or comprehensive formularies in Microsoft® Word format –designed to CMS standards and easily tailored to your own plan’s distinct needs – and provide them to members as printed documents or as downloadable PDF files.
You can upgrade this service to our Enhanced Member Formulary Reporting and deliver fully formatted and indexed files with your corporate branding, approved introductory and disclaimer copy in either Adobe ® PDF or InDesign.
Keep Member Web-Sites Current
Part D Pro allows you to comply with CMS mandates for Web-based formulary currency. You can regularly schedule updates to your member website with confidence that all of the changes made by CMS and any updates to our comprehensive drug database will be seamlessly incorporated in your updated formulary.
You can upgrade this service to our Member Formulary Web Hosting service and automatically deliver all updates to a web service application that you can plug directly into your member website. CMS requires that you deliver the Part D formulary electronically and that it be searchable by Drug Name. With our Member Formulary Web Hosting you can meet the base requirements and differentiate your plan benefits by providing so much more.