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For example, payment can be based on 95 percent of Average Wholesale Price (AWP), invoices, or other reasonable payment methods/data made available when the product is contractor priced

This method and process may include an online portal administered by a CMS contractor which will provide manufacturers with access to their Rebate Reports, submit Suggestions of Error, and pay a rebate amount due

We mentioned that we were also interested in learning whether there is existing coding that properly describes these types of coordinated care or referral services, or whether there are elements to these types of services that are unique to OTPs and require new coding