To amend title XVIII of the Social Security Act to provide for enforcement of standards for reasonable and relevant contract terms and conditions and essential retail pharmacy protections under the Medicare program.

This bill creates a new process for pharmacies to report violations by Medicare Part D plan sponsors (PDP sponsors) regarding contract terms and pharmacy protections. It requires the Medicare Secretary to establish an allegation system allowing independent community pharmacies to submit complaints about unfair contract terms or insufficient reimbursement for covered drugs, with specific limits on how often they can submit claims. If violations are confirmed, the Secretary can enforce penalties, require sponsors to pay missing reimbursement amounts to pharmacies, or impose civil monetary fines using existing authorities. The bill directly affects independent community pharmacies and Medicare Part D plan sponsors, focusing on ensuring fair contracts and adequate drug reimbursement under Medicare.