Product Data Template Crosswalk

Differences for ProductDataTemplate.xlsx

Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA

Product Data Template Crosswalk

OMB: 0938-0921

Document [xlsx]
Download: xlsx | pdf
Differences
Sheet Range Old Value New Value Description
Instructions
productTemplate Instructions Renamed Sheet At Position 1.
Product Data Template


Added Sheet At Position 2.
Generic Name


Added Sheet At Position 3.
Unit of Volume Per Item


Added Sheet At Position 4.
Unit for Strength


Added Sheet At Position 5.
FDA Approval Type


Added Sheet At Position 6.
Product Data Template F1 Generic Name Alternate ID Website URL Changed Column F
Product Data Template H1 Strength of the Product Generic Name Changed Column H
Product Data Template J1 Number of Items Per NDC Unit for Volume per Item Changed Column J
Product Data Template J2:J1000

Added drop down
Product Data Template K1 Expiration Date of Final Lot Sold Number of Items Per NDC or Alternate ID Changed Column K
Product Data Template L2:L1000

Added drop down
Product Data Template L1 Date of First Sale Package Type Changed Column L
Product Data Template M1 FDA Application Number Strength Changed Column M
Product Data Template N2:N1000

Added drop down
Product Data Template N1 FDA Application Supplement Number Unit for Strength Changed Column N
Product Data Template O1 FDA Approval Type FDA Application Number / Registration Number Changed Column O
Product Data Template P1 Additional FDA Application Number #1 FDA Application Supplement Number Changed Column P
Product Data Template Q1 Additional FDA Application Supplement Number #1 Additional FDA Application Number #1 Changed Column Q
Product Data Template R1 Additional FDA Application Number #2 Additional FDA Application Supplement Number #1 Changed Column R
Product Data Template S1 Additional FDA Application Supplement Number #2 Additional FDA Application Number #2 Changed Column S
Product Data Template T1 FDA Approval Date Additional FDA Application Supplement Number #2 Changed Column T
Product Data Template U1
FDA Approval Date Added Column U
Product Data Template V2:V1000

Added drop down
Product Data Template V1
FDA Approval Type Added Column V
Product Data Template W1
First Marketing Date Added Column W
Product Data Template X1
Date of First Sale for this Product Added Column X
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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