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AMP Data Entry Page 1. Losing Facility Information Type of Distribution to Consolidate: Facility Name & Type: Street Address: City: State: 5D Facility ZIP Code: District: Area: Finance Number: Current
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The AMP Data Entry Page is a specific form used for reporting and entering data related to the Average Manufacturer Price (AMP) for pharmaceuticals.
Entities that manufacture or distribute drugs covered under Medicaid and are required to report their AMP to the Centers for Medicare & Medicaid Services (CMS) must file the AMP Data Entry Page.
To fill out the AMP Data Entry Page, you need to provide accurate information regarding drug pricing, units sold, and any applicable discounts or rebates. Follow the provided guidelines and ensure all sections are completed thoroughly.
The purpose of the AMP Data Entry Page is to provide a standardized way for manufacturers to report their average prices for drugs, ensuring compliance with federal regulations and facilitating proper reimbursement calculations.
The information that must be reported includes the average manufacturer price, the number of units sold, pricing adjustments, and any discounts that apply to the reported prices.
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