Government Programs & Pricing

We compiled a list of Government Program and Pricing resources that we find useful in our GP practice. Bookmark this page — we will keep updating it as key guidance is issued.

Average Manufacturer Price (AMP) and Best Price (BP)

• ACA Final Rule
• ACA Proposed Rule
• Deficit Reduction Act (DRA)
• OBRA
• OBRA 93
• NDRA Reference Guide
• CMS guidance on SPAPs excluded from Medicaid Best Price
• State and Manufacturer Releases
• Medicaid Change Request Forms

PHS 340B

• VHCA 92 Sections 601 - 603
• Final Rule
• Example Pricing Agreement
• Example PPA Addendum
• HRSA Database of Covered Entities

Medicare Part B Average Sales Price (ASP)

• Medicare Modernization Act
• Published Average Sales Prices
• ASP Interim Final Rule

Medicare Part D Manufacturer Discount Program

• CMS Part D Information for Pharmaceutical Manufacturers
• CMS Final Guidance
• Manufacturer Agreement
• Data (TPA) Agreement
• CMS Instructions for Submitting Ownership Information
• Methodology for Identifying Specified Manufacturers and Specified Small Manufacturers
• Palmetto Third Party Administrator (TPA) for Part D MDP and CGDP

Federal Supply Schedule (FSS)

• VHCA 92
• FSS Modification Forms
• Dear Manufacturer Letters
• Solicitation Packet
• VA National Acquisition Center (NAC)
• VETS-4212 Federal Contractor Reporting

TRICARE

• Operational Documents (Pricing Agreement, NDC Transfer Form, etc.)
• Due Dates