CY 2026 Medicare Plan Finder Pricing Data Submission Calendar
Relevant to: Drug Pricing, Part D
Each week, we scan the latest CMS memos to find the most important ones that apply for PACE programs. Below is a summary of what you need to know.
Disclaimer: The content provided on this site is a summary for informational purposes only, and Grane PBM, Inc. assumes no liability for any errors or omissions in the site’s content. The information does not constitute legal or regulatory advice or replace the original CMS memo. Readers are advised to consult the CMS memo in its entirety and to verify information independently before making any decisions based on this information.
Introduction
The CY 2026 Pricing Data Submission Calendar for Medicare Plan Finder provides crucial timelines for pharmacy benefits management in the upcoming year. This detailed schedule outlines the submission windows and deadlines for both pricing and formulary data, ensuring a streamlined process for all stakeholders involved. Beginning in June 2025 and continuing through September 2026, the calendar specifies important dates for the approval and public posting of Medicare drug pricing and plan information.
Key Dates and Deadlines
- June 2 – 4, 2025: Calendar Year 2025 Formulary Submission Window.
- July 21 – 24, 2025: Second Calendar Year 2026 Test Data Submission Window.
- August 6 – 12, 2025: HPMS Drug Pricing Plan Preview.
- October 1, 2025: First display of Calendar Year 2026 data.
- January 20, 2026: Approval Deadline for Calendar Year 2026 January Formulary.
PACE Compliance
This memo is relevant to PACE programs because it outlines the timelines and processes for submitting pricing data to the Medicare Plan Finder for Calendar Year (CY) 2026. Compliance with these timelines is essential for ensuring that PACE plans are accurately represented and available on the Medicare Plan Finder.
Plans must adhere to the submission windows and use the Medicare Plan Finder pricing data submission procedures outlined in the memo to comply with PACE requirements. This includes timely submission of formularies and pricing data, going through CMS QA processes, and ensuring that approval deadlines are met.
Failure to comply with these submission requirements and deadlines could result in PACE plans not being displayed correctly or in a timely manner on the Medicare Plan Finder. This could impact the visibility and accessibility of PACE offerings for beneficiaries.
Required Actions
Review the detailed data submission calendar for Medicare Plan Finder for CY 2026 provided in Appendix A.
Access the Medicare Plan Finder to upload the required formulary and pricing data according to the scheduled windows.
Ensure that all submitted test and final data goes through the CMS QA process as specified, and check for any updates via official memos.
FAQs
- “What is the Medicare Plan Finder Pricing Data Submission Calendar?”
- “When is the submission window for Calendar Year 2026 formulary data?”
- “How is pricing data approved and released by CMS for Medicare Plan Finder?”
- “What is the CMS QA process for test data submissions?”
- “When are pricing data updates posted on the Medicare Plan Finder?”
