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340B Drug Program Reimbursement Calculator
Published 01/23/2023
340B Drug Program Reimbursement Calculator
Average Sales Price
Results
Reimbursement
The 340B Drug Pricing Program allows certain hospitals and other healthcare providers to purchase drugs and
biologicals (other than vaccines) that are administered in a hospital outpatient department from drug
manufacturers at discounted prices.
Our interactive 340B Drug Program Reimbursement Calculation Tool will assist you in determining the expected
reimbursement amount.
All items below must be true:
Facility is reimbursed under Outpatient Prospective Payment System (OPPS)
Drug has a status indicator K
Drug being subject to Average Sales Price (ASP) + 6 percent reimbursement methodology
Line-item billed with HCPCS modifier JG
Calculator Use
Select appropriate drug pricing year and quarter file for dates of service billed