Crosswalk - Record Specification

Copy of Form Record Specification Crosswalk.xlsx

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

Crosswalk - Record Specification

OMB: 0938-0578

Document [xlsx]
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2013 (old version) 2014 (new version) Type of Change Reason for Change Burden Change
Filler (367a) Blank Rev The filler field wasn't being used, so we are deleting it. No
Filler (367b) 5i Threshold Rev The filler field wasn't being used, so we are replacing it with the 5i Threshold field, which is required as part of the Affordable Care Act. 1 hour per reporting period
DESI Indicator (367c) COD Status and FDA Application Number/OTC Monograph Number Rev The DESI Indicator field is no longer relevant to the Medicaid Drug Rebate Program and is being replaced with the new Covered Outpatient Drug Status field and the associated FDA Application Number/OTC Monograph Number field. One-time burden of 5 hours per labeler
Blank 5i Drug Indicator and 5i Route of Administration (367c) Rev In accordance with the Affordable Care Act, the 5i Drug Indicator and 5i Route of Administration fields are being added. One-time burden of 2.5 hours per labeler
Blank ACA Baseline AMP (367c) Rev In accordance with the Affordable Care Act, the voluntary ACA Baseline AMP is being added. Negligible because not every labeler will report it, nor will it be reported for every drug
Blank Reactivation Date Rev To ensure more accurate product data reporting and allow labelers to report a date on which a terminated NDC is reintroduced to the market, the voluntary Reactivation Date field is being added. Negligible because not every labeler will report it, nor will it be reported for every drug
Blank Legal Contact Email Address (367d) Rev To provide each labeler with the option to submit an alternate email address as part of their reported contact information. Negligible because not every labeler will report it.
Blank Invoice Contact Email Address (367d) Rev To provide each labeler with the option to submit an alternate email address as part of their reported contact information. Negligible because not every labeler will report it.
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