CMS-367c DDR Drug Product Data

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

CMS-367c 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 DRUG PRODUCT DATA

TEXT FILE FOR TRANFER TO CMS


Source: Drug Manufacturers

Target: CMS


Field


Size


Position


Remarks


Record ID


2


1 – 1


Constant of “P”


Labeler Code


5


2 – 6


NDC #1


Product Code


4


7 – 10


NDC #2


Package Size Code


2


11 - 12


NDC #3


Drug Category


1


13 - 13


See Data Element Definitions


Unit Type


3


14 - 16


See Data Element Definitions


FDA Approval Date


8


17 - 24


MMDDYYYY


FDA Thera. Eq. Code


2


25 - 26


See Data Element Definitions


Market Date


8


27 - 34


MMDDYYYY


Termination Date


8


35 - 42


MMDDYYYY


DESI Indicator


1


43 - 43


See Data Element Definitions


Drug Type Indicator


1


44 - 44


See Data Element Definitions


Baseline AMP


11


45 - 55


99999.999999


Units Per Pkg Size


10


56 - 65


9999999.999


FDA Product Name


63


66 - 128


FDA Registration Name

DRA Baseline AMP

11

129 – 139

99999.999999







CMS-367c (Exp. )


OMB No. 0938-0578

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

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