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Required OptumRx training and Fraud, Waste and Abuse (FWA) attestation for network pharmacy providers

In accordance with Centers for Medicare & Medicaid Services (CMS) requirements, Medicare Advantage Organizations (MAO), Medicare-Medicaid Plans (MMP) and Medicare Part D (PDP) sponsors (“Plan Sponsors”) are obligated to require completion of annual Fraud, Waste and Abuse (FWA) and general compliance training with their first-tier, down-stream and related (FDR) entities. 

In addition, FDRs are required to monitor federal exclusions lists on a monthly basis, as well as annually distribute Code (or Standards) of Conduct information. 

As a “Network Pharmacy Provider,” you are considered a FDR. On behalf of our Plan Sponsors, we are providing this training to all of our Network Pharmacy Providers.

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   For concerns related to Fraud, Waste and Abuse please contact us at reportrxfraud@optum.com.