R12088CP

Dynamic List Information
Dynamic List Data
Transmittal #
R12088CP
Issue Date
2023-06-15
Subject

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

Implementation Date
2023-10-02
CR #
13260
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2023-09-14
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 September 13, CMS announced the list of 34 prescription drugs for which Part B beneficiary coinsurances may be lower between October 1 – December 31, 2023. CMS has released information about these 34 Part B drugs and biological products in the quarterly Average Sales Price (ASP) public files, available here (PDF). A fact sheet is available here (PDF).

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:

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