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

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

OMB: 0938-0921

IC ID: 8767

Documents and Forms

Document Name Document Type
cms10110.asp_data_collection_validation_macro_user_guide_032520.pdf Instruction
DTS-ASP-Certifier-UserGuide.pdf Instruction
DTS-ASP-Registration-UserGuide.pdf Instruction
DTS-ASP-Submitter-UserGuide.pdf Instruction
FinancialDataTemplate Instructions.pdf Instruction
CMS-10110 Financial Data Template FinancialDataTemplate-FB.xlsx Form
ProductDataTemplate Instructions.pdf Instruction
ProductDataTemplate FDA Approval Type.pdf Instruction
ProductDataTemplate Generic Name.pdf Instruction
ProductDataTemplate Unit for Strength.pdf Instruction
ProductDataTemplate Unit of Volume Per Item.pdf Instruction
CMS-10110 Product Data Template ProductDataTemplate.pdf Form
Differences for FinancialDataTemplate.xlsx Financial Data Template Crosswalk IC Document
Differences for ProductDataTemplate.xlsx Product Data Template Crosswalk IC Document