Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations

ICR 201112-0938-002

OMB: 0938-0921

Federal Form Document

ICR Details
0938-0921 201112-0938-002
Historical Active 200904-0938-009
HHS/CMS
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations
Revision of a currently approved collection   No
Regular
Approved without change 03/23/2012
Retrieve Notice of Action (NOA) 12/08/2011
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 06/30/2012
720 0 720
34,560 0 28,800
0 0 0

In accordance with Section 1847A of the Social Security Act (the Act), Medicare Part B covered drugs and biologicals not paid on a cost or prospective payment basis are paid based on the average sales price of manufacturers' average sales price data submitted to the Centers for Medicare & Medicaid Services (CMS). The reporting requirements are specified in 42 CFR Part 414 Subpart J. In the CY2005 IFC, we published information about the ASP reporting requirements for Medicare Part B drugs and biologicals (66 FR 17935) and specified that manufacturers must report the ASP data using our Addendum A template. We also initiated additional changes to the template in 2008 (73 FR 76032). In order to facilitate more accurate and consistent ASP data reporting from manufacturers, we are now proposing revisions to the Addendum A template. Specifically, we propose to revise existing reporting fields and add new fields to the Addendum A template, as follows: o To split the current NDC column into three separate reporting fields, corresponding to the three segments of an NDC: the labeler, product, and trade package size; o To add a new field to collect an Alternate ID for products without an NDC; and o To expand the current FDA approval number column to account for multiple entries and supplemental numbers. We have also added a macro to the Addendum A template that will allow manufacturers to validate the format of their data prior to submission. This will help verify that data are complete and submitted to CMS in the correct format, thereby minimizing time and resources spent on identifying mistakes or errors. A User Guide containing general instructions on the use of the template and instructions for the reporting of dermal grafting products has also been created.

PL: Pub.L. 108 - 17 303 Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
   US Code: 42 USC 1395(a)(1)(S) Name of Law: null
   US Code: 42 USC 1395u(o) Name of Law: null
   US Code: 42 USC 1395w-3 Name of Law: null
   Statute at Large: 18 Stat. 1847 Name of Statute: null
   Statute at Large: 19 Stat. 1927 Name of Statute: null
  
None

0938-AQ25 Final or interim final rulemaking 76 FR 73026 11/28/2011

  76 FR 42772 07/19/2011
76 FR 73026 11/28/2011
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 720 720 0 0 0 0
Annual Time Burden (Hours) 34,560 28,800 0 5,760 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden hours were increased due to agency discretion to include collection of additional data elements. The increase in reporting burden arises from the Agency's (CMS's) need to apply appropriate payments for drugs and biologicals. This need is not new; the original ASP statute requires a calculation of payment amounts for drugs and biologicals. Section 1847A specifies that the payment amount for drugs and biologicals is determined based on the ASP for the products as submitted by manufacturers. These data are proprietary. Therefore, CMS must collect these data directly from manufacturers.

$200,000
No
No
No
No
No
Uncollected
William Parham 4107864669

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/08/2011


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