Government Programs & Pricing

We compiled a list of Government Program and Pricing resources that we find useful in our GP practice. Bookmark this page — we will keep updating it as key guidance is issued.

Average Manufacturer Price (AMP) and Best Price (BP)

• ACA Final Rule
• ACA Proposed Rule
• Deficit Reduction Act (DRA)
• OBRA
• OBRA 93
• NDRA Reference Guide
• CMS guidance on SPAPs excluded from Medicaid Best Price
• State and Manufacturer Releases
• Medicaid Change Request Forms

PHS 340B

• VHCA 92 Sections 601 - 603
• Final Rule
• Example Pricing Agreement
• Example PPA Addendum
• HRSA Database of Covered Entities

Medicare Part B Average Sales Price (ASP)

• Medicare Modernization Act
• Published Average Sales Prices
• ASP Interim Final Rule

Medicare Part D Coverage Gap (CGDP)

• Coverage Gap — Example Agreement
• Coverage Gap Invoice Dates
• Palmetto — CGDP Third Party Administrator (TPA)

Federal Supply Schedule (FSS)

• VHCA 92
• FSS Modification Forms
• Dear Manufacturer Letter Archive
• Solicitation Packet
• VA National Acquisition Center (NAC)

TRICARE

• Pricing Agreement, Change Form and Manufacturer Questionnaire
• Due Dates