October 2021 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Published 07/15/2021

This article tells you about the Average Sales Price (ASP) methodology, which CMS bases on quarterly data manufacturers submit to us. CMS gives the MACs ASP and Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis. CMS includes 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.