ASP Amount for OPPS Changed

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  • February 27, 2009
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Beginning Jan. 1, 2009, under the Outpatient Perspective Payment System (OPPS), payment allowance limits for specified covered outpatient drugs are paid at the average sales price (ASP) plus 4 percent.

Drugs and biologicals with pass-through status under the OPPS continue to have a payment limit of 106 percent of the ASP.
See the Center for Medicare & Medicaid Services (CMS) Transmittal 1685, Change Request (CR) 6380, issued Feb. 20, for details.

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