R11752CP

Dynamic List Information
Dynamic List Data
Transmittal #
R11752CP
Issue Date
2022-12-15
Subject

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

Implementation Date
2023-04-03
CR #
13044
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2023-03-15
Publication #
100-04
Transmittal Year
2022

MLN Connects® Newsletter Message

Inflation Reduction Act Tamps Down on Prescription Drug Price Increases Above Inflation

On March 15, HHS, through CMS, announced 27 prescription drugs for which Part B beneficiary coinsurances may be lower from April 1 – June 30, 2023. CMS has released information about these 27 Part B drugs and biological products in the quarterly ASP public file, available here (PDF). A fact sheet is available here (PDF).  

Lower Part B coinsurance will go into effect on April 1, 2023. This coinsurance adjustment applies to certain drugs and biologicals covered 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