Hi all.
I have a doubt trying to bill a drug that has been priced based on AWP - 12% reference priced. Let say it's Alimta, HCPCS: J9305 500mg, Billing Unit: 50, NDC Unit: 1.
based on ASP price, we get ( price x unit x 50 ). How to calculate if based on AWP?.
Another example is there is no HCPCS crosswalk so no billing units available, should i use NDC unit to get the total price so (awp unit price x ndc unit)?