R11920CP

Dynamic List Information
Dynamic List Data
Transmittal #
R11920CP
Issue Date
2023-03-23
Subject

July 2023 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Implementation Date
2023-07-03
CR #
13157
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2023-06-15
Publication #
100-04
Transmittal Year
2023

MLN Connects® Newsletter Message

Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation

On June 9, HHS, through CMS, announced the list of 43 prescription drugs for which Part B beneficiary coinsurances may be lower between July 1 – September 30, 2023. CMS has released information about these 43 Part B drugs and biological products in the quarterly Average Sales Price (ASP) public files, available here. A fact sheet is available here.

This coinsurance adjustment applies to certain drugs and biologicals paid under Medicare Part B. The Part B drugs impacted by this coinsurance adjustment may change quarterly.

See the initial guidance detailing the requirements and procedures for the Medicare Prescription Drug Inflation Rebate Program here

More Information:

 

Downloads