OMB control number

Medicare Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (CMS-10931)

OMB 0938-1487 · HHS/CMS.

OMB 0938-1487

On April 18, 2025, President Trump signed Executive Order (E.O.) 14273, “Lowering Drug Prices by Once Again Putting Americans First.” Section 5 of the E.O., “Appropriately Accounting for Acquisition Costs of Drugs in Medicare,” directs the Secretary of HHS to publish in the Federal Register a plan to conduct a survey under section 1833(t)(14)(D)(ii) of the Act so he can determine the hospital acquisition cost for covered outpatient drugs at hospital outpatient departments. This survey corresponds to this executive order. The acquisition cost data hospitals submit in response to this survey will be considered when formulating proposed payment rates for drug payment under the Medicare Outpatient Prospective Payment System (OPPS). The respondents of the survey will be the approximately 4,500 hospitals that are paid under the OPPS.

The latest form for Medicare Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (CMS-10931) expires 2028-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Justification for No Material/Nonsubstantive Change
CMS-10931_Supporting Statement - Part B_ODACS.docx (document unavailable)
Supporting Statement B
CMS-10931_Supporting Statement - Part A_Clean.docx (document unavailable)
Supporting Statement A
Comments and Responses_ODACS.docx (document unavailable)
Supplementary Document