Archived State File Formats and Data Definitions
- CMS-R-144 State Invoice (2021)
- CMS-R-144 State Invoice Data Definitions (2019)
- CMS-R-144 State Invoice Record Format (2019)
- CMS-368 State Agency Contact Form (2021)
- UROA File Layout (2015)
- Rebate File Layout (2016)
- Quarterly AMP File Layout (2018)
- Monthly AMP File Layout (2018)
Archived Manufacturer File Formats and Data Definitions
- CMS Form-304 Reconciliation of State Invoice (ROSI) (2021)
- CMS Form-304 Reconciliation of State Invoice (ROSI) Electronic Format (2019)
- CMS Form-304 Reconciliation of State Invoice (ROSI) Instructions (2019)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) (2021)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Electronic Format (2019)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Instructions (2019)
- CMS-367a Quarterly Pricing (2019)
- CMS-367b Monthly Pricing (2019)
- CMS-367c Product File (2019)
- CMS-367d Labeler Contact Form (2019)
Page last updated on December 19, 2022