ASP Amount for OPPS Changed

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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