Monday, December 7, 2009

Medicare drug discount card program

Question: Should manufacturers include discounts given under the Medicare drug discount card program in their average sales price data submitted to CMS?

Answer : No, as consistent with the MMA, manufacturers should exclude prices negotiated for covered discount card drugs under an endorsed discount card program in calculating ASP data. Beginning in 2006 when the Medicare Part D prescription drug benefit is implemented, manufacturers should also exclude any prices negotiated by a prescription drug plan (including a Medicare Advantage plan) or by a qualified retiree prescription drug plan (as defined in section 1860D-22(a)(2)) on behalf of Part D eligible individuals.

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