CMS-367b DDR Monthly Pricing Data

Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)

CMS-367b instrument

Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534

OMB: 0938-0578

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CMS RECORD SPECIFICATION

DDR MONTHLY PRICING DATA

TEXT FILE FOR TRANSFER TO CMS


Source: Drug Manufacturers

Target: CMS


Field


Size


Position


Remarks

Record ID


1


1 – 1


Constant of “M”

Labeler Code


5


2 – 6


NDC #1

Product Code


4


7 – 10


NDC #2

Package Size


2


11 – 12


NDC #3

Month

2

13 – 14

MM

Year

4

15 – 18

YYYY

Average Mfr Price


12


19 – 30


99999.999999











CMS-367b (Exp. )


OMB No. 0938-0578

File Typeapplication/msword
AuthorCMS
Last Modified ByCMS
File Modified2007-02-20
File Created2007-02-20

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