Government Pricing you can defend, years from now.
AMP, Best Price, ASP, Non-FAMP and the 340B ceiling price, calculated together in one validated engine, with your methodology and audit trail held in the system, not in emails and spreadsheets.
Statutory prices aren't negotiated. They're calculated, certified and audited.
Your AMP and Best Price are built from your own commercial transactions, signed by a company officer, and can be audited three years later. Every upstream error lands inside them. Some of the largest settlements in the industry came from classification and methodology decisions, not fraud.
- $10,000 a day penalty for late or incorrect AMP or Best Price reports
- Up to $100,000 per false submission
How iContracts solves it.
The challenge
How iContracts handles it
The inputs are messy. Every wrong chargeback or class of trade flows into AMP and Best Price.
Clean inputs from one platform. Chargebacks, rebates and classifications come from the same validated data.
Metrics calculated in separate spreadsheets drift apart.
One engine, every metric: AMP and AMP 5i, Best Price, ASP, Non-FAMP, FCP, FSS and the PHS ceiling price, calculated together.
Methodology is judgment plus statute, and has to be applied consistently for years.
Configurable methodology. Business rules and assumptions held in versioned configuration, so every change is deliberate and dated.
One deep discount can reset Best Price and reprice your Medicaid book.
Best Price review in every cycle. Automated and manual checks, including variance and trend analysis and prior-period comparison, flag a price that moves unexpectedly before it’s filed.
Corrections cascade through URAs, 340B ceilings and rebates already paid.
Built-in restatement logic. Prior periods are recalculated, showing what moved, by how much and why.
Filing is manual and deadline-driven.
Submission-ready output for CMS, the VA and HRSA, with supporting documentation attached.
What we validate
- NDC and product validation
- Customer classification
- Transaction mapping
- Data completeness for the period
- Business rule checks
- Trend and variance review
- Reconciliation to source
- Independent QA review
- Exception root-cause tracking
- Audit trail on every version
The value: reduce noncompliance risks and fines
- Methodology that survives turnover, because it lives in configuration, not tribal knowledge
- Variances caught in QA, not in a CMS audit three years later
- Restatements computed, not reconstructed
- Audit questions answered with a report, not a project
From data collection to government submission, we manage every step.
Government pricing expertise is rare and hard to replace. Our specialists run the full cycle with your team every month and quarter, from transaction data through submission and restatements, so your filings don’t depend on one person.
How it works
Sales, chargeback, rebate and fee data gathered from your source systems, including direct and indirect sales, chargebacks and rebates, service fees and customer data.
Data loaded into iContracts and validated for completeness and integrity, with record count tie-outs, NDC and product master checks and duplicate checks.
Every transaction classified for inclusion or exclusion in each calculation, with class of trade mapping, bona fide service fee review and exclusion review.
Government prices calculated to statutory and client methodology: AMP (monthly and quarterly), Best Price, ASP, Non-FAMP and FCP, and the 340B ceiling price.
Automated and manual checks for accuracy and compliance, including variance and trend analysis, Best Price review, prior-period comparison and QA review.
Your team reviews the results package and methodology, and approves prices before anything is submitted.
Approved prices submitted to each agency by the required deadline, with certification: CMS (AMP, Best Price and ASP), the VA (Non-FAMP and FCP) and HRSA (340B).
Restatements handled and full documentation kept for audits, including methodology documentation, the audit trail and reporting.
You stay in control. Nothing is submitted to an agency until your team has reviewed the results and approved the prices. Your methodology and sign-off, our execution.
Choose the scope that fits. Add managed services for government pricing on its own or alongside other modules, such as Medicaid rebates or state price transparency, and change the mix as you grow.