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