Drugs and formularies

ASP Pricing File — Medicare Part B quarterly ASP (raw CMS drop)

drug_silver.fact_drug_asp_quarterly·live·silver·Medicare Part B Drug Pricing & Utilization

Rows

18,027

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The raw CMS Medicare Part B ASP Pricing File, quarter by quarter: HCPCS payment limit (ASP+6%), coinsurance %, and the vaccine / blood / clotting-factor pricing columns.
2This is the physical table the asp_pricing_lookup MCP tool reads; drug_asp is the product-level logical alias over the same served table.

Grain

Key	Grain
N/A	1One row per (hcpcs_code, release_quarter).

Columns (27)

Column	Type	Meaning
`hcpcs_code`	string
`short_description`	string
`hcpcs_dosage`	string
`payment_limit_usd`	double
`coinsurance_percentage`	double
`vaccine_awp_percentage`	double
`vaccine_limit_usd`	double
`blood_awp_percentage`	double
`blood_limit_usd`	double
`clotting_factor_usd`	double
`notes`	string
`release_quarter`	string
`observed_period`	date
`asserted_at`	date
`effective_period_start`	date
`effective_period_end`	date
`cms_vintage_sequence`	int
`parse_revision`	int
`parser_artifact_hash`	string
`source_url`	string
`sha256_content_hash`	string
`source_id`	string
`is_current`	boolean
`bronze_object_key`	string
`s3_version_id`	string
`vintage_tag`	string
`drug_source_version_id`	string

Query it

describe_data_source(source_fqn="drug_silver.fact_drug_asp_quarterly")     # the card, live
query_substrate(sql="SELECT * FROM drug_silver.fact_drug_asp_quarterly WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`hcpcs_code`
Join	`how_to_join(source_fqn="drug_silver.fact_drug_asp_quarterly")`
Raw door	Athena (read-only via query_substrate): drug_silver.fact_drug_asp_quarterly (filter is_current = true). The Medicare Part B drug benchmark — JOIN commercial fact_rate on code=hcpcs_code (HCPCS), normalize billing units.
Note	CERTIFIED (product1-cert-asp-v1, refreshed source-truth proof 2026-07-03). One J-code -> many NDCs.

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