Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 20.1.1
Online Pricing Files for Average Sales Price
20.1.1 - Online Pricing Files for Average Sales Price
(Rev. 509, Issued: 03-18-05; Effective: 07-01-05; Implementation: 07-05-05)
Beginning July1, 2005, the standard for the number of online pricing files maintained by DME MACs
for determining the applicable allowed amount for paying drug claims is eight fee screens/pricing files
for Part B drugs billed to DME MACs for payment on a fee-for-service basis.