AMP calculation
Average Manufacturer Price computed from gross sales net of customary prompt-pay discounts, chargebacks, and rebates — all reconciled to the penny.
The Pharma Government Pricing Engine assembles a documentation-complete submission pack — every statutory price type, every required reconciliation, the certified file, and the submission calendar — checked against the letter of 42 CFR §447.505 and CMS guidance before a specialist releases it.
A pharmaceutical manufacturer's government-price submission is only as strong as the calculation behind it. Misclassify a class of trade, miss a Best Price exclusion, or miscalculate the Unit Rebate Amount — and the submission can be challenged, restated, or expose the manufacturer to FCA liability with historic settlements exceeding $784 million.
Most manufacturers run this by hand, in spreadsheets, or on legacy platforms that require scarce GP analysts to configure and operate. The statute has not been read end-to-end since the last restatement. That is exactly where completeness gaps hide.
The Pharma Government Pricing Engine exists to close that gap with a single, exhaustive standard applied identically to every file.
We do not summarize the law and hope. Every pack is scored against a versioned rule pack tied to the exact text of 42 CFR §447.505 and related CMS guidance. These are the provisions each pack is held to.
Average Manufacturer Price computed from gross sales net of customary prompt-pay discounts, chargebacks, and rebates — all reconciled to the penny.
The lowest price available to any wholesaler, retailer, or provider, excluding statutory exceptions — classified deterministically, not by guess.
URA derived from AMP and Best Price, with the inflation-adjusted component — verified against CMS's own formula.
Ceiling price computed as AMP minus URA, with quarterly updates — cross-referenced to the published 340B ceiling price list.
Average Sales Price for Medicare Part B products, including volume-weighted calculation and reconciliation to manufacturer-reported data.
Cross-price reconciliation across AMP, BP, URA, 340B, and ASP — any discrepancy blocks release until resolved.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
Upload transactional sales, chargeback, rebate, and admin-fee data. We return a free completeness read: which price types and reconciliations you already have, and which are missing.
As your authorized clerical agent, we ingest and normalize data from your ERP, revenue management, and contract systems — building a single source of truth.
The five price types are calculated from your validated data and the 42 CFR §447.505 rule pack into field-locked templates — no legal opinions, no invented facts.
Amounts reconcile to the penny; class-of-trade and Best-Price eligibility are verified; cross-price reconciliation is resolved; any failure blocks release.
A licensed government-pricing expert reviews the exception queue and signs the release. High-value or novel products route to attorney review first.
You receive the pack: certified price file, reconciliation log, methodology memo, submission calendar, and CMS-ready submission — ready for your authorized official to certify.
The deliverable is completeness itself — every statutory price type and reconciliation accounted for or explicitly exception-coded. Nothing is left implicit.
The gates that decide completeness are code, not a model's opinion. A calculation error cannot slip past a statutory requirement.
We prepare documentation and run calculations as your clerical agent. We never give legal advice, certify prices, or submit on your behalf.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
Start with a free Gap Scan. Send your transactional data and we'll return a completeness read against every formula under 42 CFR §447.505.
Documentation-completeness service · not legal advice · the manufacturer certifies every submission.