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Centers for Medicare and Medicaid Services

ACCC calls on CMS to allow for exceptions to ASP reimbursement

Published in Biotech Law Weekly, July 2nd, 2004

In comments filed with the U.S. Centers for Medicare and Medicaid Services (CMS), the Association of Community Cancer Centers (ACCC) urged CMS to allow exceptions to the Average Sales Price (ASP) formula where inaccurate data would limit patient access to lifesaving drugs.

ACCC believes that the ASP plus 6% methodology that will be used to set physician drug reimbursement rates for 2005 and beyond may result in payment rates that are lower than the price at which most physicians will be able to purchase some drugs.

Implementing an exception process where interested parties - including physicians and manufacturers - could petition the agency to review...

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