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ASP Pricing Files | CMS. The quarterly ASP Pricing Files are grouped by the year in which they are effective. For more information on how ASP is reported, and what drugs and biologicals are included in the ASP Pricing Files, visit the ASP Reporting page: 2024 ASP Drug Pricing. 2023 ASP Drug Pricing. 2022 ASP Drug Pricing. 2021 ASP Drug Pricing.
All Part B drug manufacturers report Average Sales Price (ASP) data for Part B-covered drugs and biologicals and related items, services, supplies, and products that are paid as drugs or biologicals. Report this information to CMS for calendar quarters starting January 1, 2022.
CMS will supply the contractors with the ASP and Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis. Payment allowance limits under the Outpatient Prospective
CMS supplies the Medicare Fee-for-Service (FFS) claims processing contractors with the drug pricing files for Medicare Part B drugs on a quarterly basis. In general, under the ASP methodology, the payment limits are based on the volume-weighted average of the manufacturers’ ASP.
The ASP methodology is based on quarterly data submitted to CMS by manufacturers. CMS will supply the contractors with the ASP and Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis.
Medicare pays most separately payable drugs and biologics at a rate of ASP plus 6%. To calculate the ASP and payment of each drug and biologic, manufacturers submit sales data, including discounts. CMS publishes the payment amounts each quarter.
When the national payment limit for a clotting factor is not included on the Average Sales Price (ASP) Medicare Part B Drug Pricing File or the Not Otherwise Classified (NOC) Pricing File, the contractor must make payment for the clotting factor as well as make payment for the furnishing fee.
The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now available are the July ASP and Not Otherwise Classified (NOC) pricing files and the ASP NDC HCPCS crosswalk.
CR 12925 supplies the contractors with the ASP and Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis. The Average Sales Price (ASP) payment limits are calculated quarterly based on quarterly data submitted to CMS by manufacturers.
SUBJECT: April 2022 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files. I. SUMMARY OF CHANGES: The ASP methodology is based on quarterly data submitted to CMS by manufacturers. CMS will supply the contractors with the ASP and Not Otherwise Classified (NOC) drug