data.medicaid.govHand-written summary
ACA Federal Upper Limits
Affordable Care Act Federal Upper Limits for multiple source drugs, based on the weighted average of manufacturer prices reported each month.
Freshness
- Last posted
- Period covered
- Update frequency
Dates as CMS lists them in its catalog.
Columns 14
| Column | What it means | Type |
|---|---|---|
Product Groupproduct_group | The following methodology forms a Product Group: Include all innovator (I) and non-innovator (N) pharmaceutically and therapeutically equivalent (A-rated) multiple source drugs when calculating the weighted average of monthly AMPs in a FUL Product Group; Will not include single source (S) drugs when calculating the weighted average of monthly AMPs in a FUL Product Group; Will not include formulations of the drug that are not rated by the FDA as pharmaceutically and therapeutically equivalent to the reference listed drug, (A-rated) in the calculation of the weighted average of monthly AMPs, or apply the FUL to those formulations that are not A-rated, e.g., B-rated drugs; Will use the monthly AMP and AMP units reported and certified by manufacturers to calculate the weighted average of monthly AMPs in a FUL Product Group; and, Will not include the AMP of a terminated drug in the weighted average of monthly AMPs. | string |
Ingredientingredient | The order of ingredients presented in the product labelling. | string |
Strengthstrength | The strengths presented in the product labelling. | string |
Dosagedosage | The dosage form of the drug. | string |
Routeroute | The route of administration of the drug. | string |
MDR Unit Typemdr_unit_type | The unit type reported to the CMS Medicaid Drug Rebate Program. | string |
Weighted Average of AMPsweighted_average_of_amps | text | |
ACA FULaca_ful | The calculated Federal Upper Limit (FUL) for the group. | string |
Package Sizepackage_size | Identifies the number of billing units in the package quantity from which the pharmacist dispenses. | string |
NDCndc | The National Drug Code (NDC) is a numerical code maintained by the FDA that includes the labeler code, product code, and package code. | string |
A-Ratedarated | Identifies if the drug is an A-rated drug, (Yes or No). | string |
Multiplier Greater Than 175 Percent of Weighted Avg of AMPsmultiplier_greater_than_175_percent_of_weighted_avg_of_amps | ACA FUL equals the most current average retail community pharmacies' acquisition cost (NADAC) = Y ACA FUL equals 175 percent of the weighted average of the most recently reported monthly AMPs = N Note: All NDC-11s for a FUL Product Group are included in this file; however, only the (I) and (N), A-rated, multiple source drugs are used to calculate the weighted average of the most recently reported monthly AMPs in a FUL Product Group. | string |
Yearyear | The year in which the FUL was calculated. | string |
Monthmonth | The month in which the FUL was calculated. | string |
No column matches that filter.
At a glance
- Catalog
- data.medicaid.gov
- Publisher
- Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov
- Rows
- 2,280,950
- Columns
- 14
- State column
- None found
- Contact
- Medicaid.gov@cms.hhs.gov
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.medicaid.gov/api/1/datastore/query/ce4cf49b-a21b-5a53-bbc3-509414940847/0?limit=10
CMS's description
Affordable Care Act Federal Upper Limits (FUL) based on the weighted average of the most recently reported monthly average manufacturer price (AMP) for pharmaceutically and therapeutically equivalent multiple source drug products that are available for purchase by retail community pharmacies on a nationwide basis.
The summary at the top was written by hand from this description. Record id mcd:ce4cf49b-a21b-5a53-bbc3-509414940847. This record as JSON.