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Tag: Average Manufacturer Price


Also Noted

OIG: Seven drug codes up for price substitutions

November 16, 2021HME News Staff

WASHINGTON – Seven drug codes met CMS’s price substitution criteria by exceeding the 5% threshold for two consecutive quarters or three of the previous four quarters, according to an update from the Office of Inspector General. If the OIG finds that the average sales price for a drug exceeded the average manufacturer price by a certain percentage – currently 5% – the Social Security Act directs the secretary of Health and Human Services to substitute the ASP-based payment...

Average Manufacturer Price, Average Sales Price


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Also Noted

OIG provides latest pricing update on Part B drugs

November 18, 2020HME News Staff

WASHINGTON - Seven codes for Medicare Part B drugs met CMS's price substitution criteria by exceeding the 5% threshold for two consecutive quarters or three of the previous four quarters, according to a new report from the Office of Inspector General. The OIG is providing the seven codes to CMS for its review. It says CMS should review this information to determine whether or not to pursue price substitutions that would limit excessive payments for Part B drugs. The OIG conducted its study by obtaining...

Average Manufacturer Price, Average Sales Price, Part B drugs, Pricing


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