OMB control number

[Medicaid] Survey of Retail Prices (CMS-10241)

OMB 0938-1041 ยท HHS/CMS.

OMB 0938-1041

CMS is performing a "Survey of Retail Prices: Payment and Utilization Rates, and Performance Rankings." This study is divided into two parts. Part I focuses on the retail community pharmacy consumer prices. It also includes reporting by the States of payment and utilization rates for the 50 most widely prescribed drugs, and comparing State drug payment rates with the national retail survey prices. The template for States to use to complete (Effective July 1, 2013, CMS has suspended Part I of the nationwide retail survey for collecting information about consumer purchase prices, pending funding decisions.) Part II of this contract focuses on the retail community pharmacy ingredient costs. This segment provides for a survey of the average acquisition costs of all covered outpatient drugs purchased by retail community pharmacies. The prices will be updated on at least a monthly basis.

The latest form for [Medicaid] Survey of Retail Prices (CMS-10241) expires 2026-12-31 and is listed under ICR 202512-0938-013.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-0938-013 No material or nonsubstantive change to a currently approved collection 2025-12-11 Approved without change
202310-0938-004 Revision of a currently approved collection 2023-10-20 Approved without change
202109-0938-001 Revision of a currently approved collection 2021-09-02 Approved with change
201805-0938-013 Extension without change of a currently approved collection 2018-05-23 Approved with change
201503-0938-009 Revision of a currently approved collection 2015-03-27 Approved without change
201203-0938-002 Revision of a currently approved collection 2012-03-05 Approved with change
201103-0938-006 Extension without change of a currently approved collection 2011-03-20 Approved without change
200801-0938-005 New collection (Request for a new OMB Control Number) 2008-01-14 Approved without change