rx_ingredient_cost_basis_type
Valid Values:
| Value | |
|---|---|
| "Default" | "Average Wholesale Price" |
| "Local Wholesaler" | "Direct" |
| "Estimated Acquisition Cost" | "Acquisition" |
| "Maximum Allowable Cost" | "Usual & Customary" |
| "340B/Disproportionate Share Pricing/Public Health Service" | "Other" |
| "Average Sales Price" | "Average Manufacturer Price" |
| "Wholesale Acquisition Cost" | "Special Patient Pricing" |
| "Cost basis on unreportable quantities" | "Free product or no associated cost" |
| "Nominal Price" | "Federal Supply Schedule" |
| "Ingredient Cost Paid as Submitted" | "Ingredient Cost Reduced to AWP Pricing" |
| "Ingredient Cost Reduced to AWP Less X% Pricing" | "Usual & Customary Paid as Submitted" |
| "Paid Lower of Ingredient Cost + Fees vs. Usual & Customary" | "MAC Pricing Ingredient Cost Paid" |
| "MAC Pricing Ingredient Cost Reduced to MAC" | "Contract Pricing" |
| "Acquisition Pricing" | "340B/Disproportionate Share/Public Health Service Pricing" |
| "Other Payer-Patient Responsibility Amount" | "Patient Pay Amount" |
| "Coupon Payment" | "Special Patient Reimbursement" |
| "Direct Price" | "State Fee Schedule Reimbursement" |
| "National Average Drug Acquisition Cost" | "State Average Acquisition Cost" |
| "Ingredient cost paid based on Basis of Cost Free Product" | "Federal Upper Limit" |
| "Nominal Pricing" | "Maximum Fair Price" |
| "Ingredient Cost Paid based on Subrogation Amount Requested" | "Predictive Acquisition Cost" |