Federal upper limit definition

Federal upper limit means the maximum per unit
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Federal upper limit or “FUL” means the listing of multiple source drugs and pricing according to criteria set forth in 42 CFR 447.332;
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Federal upper limit means the maximum per unit reimbursement when established by the federal Centers for Medicare and Medicaid Services and published by the department in Medi-Cal pharmacy provider bulletins and manuals.
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Examples of Federal upper limit in a sentence

  • To take advantage of lower market prices for certain multiple-source drugs, States may use the Federal upper limit (FUL) and/or State MAC programs.

  • The AMP of a terminated NDC will not be used to set the Federal upper limit (FUL) beginning with the first day of the month after the actual termination date reported by the manufacturer to CMS.

  • Exclude brand-name and authorized generic drug prices from Medicaid Federal upper limit (FUL).

  • Federal upper limit (FUL) is defined as the upper limit for multiple-source drugs established in accordance with the methodology of the Centers for Medicare and Medicaid Services, as described in 42 CFR 447.514.

  • The AMP of a terminated NDC will not be used to set the Federal upper limit (FUL) beginning with the first day of the month after the termination date reported by the manufacturer to CMS.

  • Guidelines defined for environmental requirements; energy conservation; sustainable design; traffic safety; low maintenance; and economic life-cycle maintenance capability.

  • The AMP of a terminated NDC will not be used to set the Federal upper limit (FUL) beginning with the first day of the month after the termi- nation date reported by the manufac- turer to CMS.

  • We also did not take into consideration the effect of Federal upper limit amounts on generic drug reimbursements or usual and customary charge limitations.

  • However, CMS noted that provisions of MIPPA prohibit it from posting AMPs publicly until October 1, 2009, and require it to continue calculating Federal upper limit amounts based on published prices.

  • CMS has established Federal upper limit amounts for more than 400 drugs that meet specified criteria.


More Definitions of Federal upper limit

Federal upper limit or "FUL" means the upper payment limit for multiple source drugs for which a limit has been established by CMS as defined by 42 C.F.R. 447.512, 447.514, and 447.516.
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Federal upper limit means the maximum per unit reimbursement when established by the federal Centers for Medicare and Medicaid Services.
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Federal upper limit means the maximum per unit reimbursement when established by the federal
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Related to Federal upper limit

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  • Minimum Weighted Average Coupon Test means a test that will be satisfied on any Measurement Date if the Weighted Average Coupon equals or exceeds 5.0%.

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  • Percent Local Usage (“PLU”) is a calculation which represents the ratio of the local minutes to the sum of local and intraLATA toll minutes between exchange carriers sent over Local Interconnection Trunks. Directory assistance, BLV/BLVI, 900, and 976 transiting calls from other exchange carriers and switched access calls are not included in the calculation of PLU.

  • Plantwide applicability limitation (PAL means an emission limitation expressed in tons per year, for a pollutant at a major stationary source, that is enforceable as a practical matter and established source-wide in accordance with Chapter 19, section 011.

  • Weighted Average Adjusted Net Mortgage Rate For any Distribution Date and Loan Group, the average of the Adjusted Net Mortgage Rate of each Mortgage Loan in that Loan Group, weighted on the basis of its Stated Principal Balance as of the Due Date in the prior month (after giving effect to Principal Prepayments in the Prepayment Period related to such prior Due Date).

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  • Combined state and local revenue per membership pupil means the district’s combined state and local revenue divided by the district’s membership excluding special education pupils.

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  • Minimum Lifetime Mortgage Rate The minimum level to which a Mortgage Interest Rate can adjust in accordance with its terms, regardless of changes in the applicable Index.

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  • Weighted Average Coupon means, with respect to Fixed Rate Obligations (excluding Defaulted Loans), as of any date, the number obtained by:

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