The Centers for Medicare & Medicaid Services (CMS) Medicare program reimburses for Part B drugs based on the Average Sales Price (ASP) of a drug +6%. These ASP rates are submitted quarterly by drug manufacturers and are based on data from two quarters prior.¹
Always remember to check the appropriate Healthcare Common Procedure Coding System (HCPCS) Code Dosage to find the true ASP price of a drug.
You can find the most up-to-date ASP pricing at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B-Drugs/McrPartBDrugAvgSalesPrice
- Weidner S, Diaz M, Schaedig C, Godan L. Observations regarding the average sales price reimbursement methodology. Evidenced-Based Oncology. 2021 June;27(4):SP156–SP160.
- Center for Medicare & Medicaid Services. 2021 ASP Drug Pricing Files. January 10, 2022.