October 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
This new Article comprises Subregulatory Guidance for the ASP methodology, which CMS bases on quarterly data manufacturers submit to us. We give the MACs ASP and Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis. We include payment allowance limits under the Outpatient Prospective Payment System (OPPS) into the Outpatient Code Editor (OCE) through separate instructions in the Medicare Claims Processing Manual, Chapter 4, Section 50. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12340 that is posted on the CMS website at https://www.cms.gov/files/document/r10870CP.pdf.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 15, 2021
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.