### Question
How does the law define at-risk beneficiary for prescription drug abuse?


### Answer
Under *42 U.S.C. § 1395w*, **at-risk beneficiary for prescription drug abuse** is defined as:

> a part D eligible individual who is not an exempted individual described in clause (ii) and—


(I) who is identified as such an at-risk beneficiary through the use of clinical guidelines that indicate misuse or abuse of prescription drugs described in subparagraph (G) and that are developed by the Secretary in consultation with PDP sponsors and other stakeholders, including individuals entitled to benefits under part A or enrolled under part B, advocacy groups representing such individuals, physicians, pharmacists, and other clinicians, retail pharmacies, plan sponsors, entities delegated by plan sponsors, and biopharmaceutical manufacturers

#### Citation:
  - *42 U.S.C. § 1395w*
  - Heading: **CHAPTER 7-SOCIAL SECURITY > SUBCHAPTER XVIII-HEALTH INSURANCE FOR AGED AND DISABLED > Part D-Voluntary Prescription Drug Benefit Program > subpart 1-part d eligible individuals and prescription drug benefits**

