Comment on CMS-2026-1255-0001

National Home Infusion Association (NHIA)SupportTrade association
Summary: The National Home Infusion Association (NHIA), a trade association representing home and alternate site infusion therapy providers, supports the proposed rule to modernize prior authorization and interoperability standards for drugs. They advocate for specific improvements, including daily updates to NCPDP formulary files, the recognition of pharmacy-initiated prior authorizations, and the inclusion of decision-support for real-time prescription benefit tools to ensure timely access to medications.
On behalf of the National Home Infusion Association (NHIA), attached are comments on the proposed rule, "Medicare and Medicaid Programs: Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs."

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