Medicaid Drug Rebate Program (MDRP) file formats are used by CMS, states, and manufacturers to transmit and receive various data required by the MDRP. CMS is currently building a new Medicaid Drug Program (MDP) system in which all the current MDRP file formats will be transitioned to MDP file formats on July 1, 2021.
Throughout 2020, CMS sent out several state and manufacturer emails introducing the updated MDP file formats. To ensure that all recipients receive this information, we are posting the current MDRP file formats, as well as the updated MDP MDRP file formats and state and manufacturer email communication to Medicaid.gov.
Current Manufacturer File Formats and Data Definitions
- CMS Form-304 Reconciliation of State Invoice (ROSI) (PDF, 59.33 KB) (2021)
- CMS Form-304 Reconciliation of State Invoice (ROSI) Electronic Format (PDF, 27.07 KB) (2019)
- CMS Form-304 Reconciliation of State Invoice (ROSI) Instructions (PDF, 29.53 KB) (2019)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) (PDF, 86.54 KB) (2021)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Electronic Format (PDF, 35.12 KB) (2019)
- CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Instructions (PDF, 27.02 KB) (2019)
- CMS-367a Quarterly Pricing (PDF, 29.55 KB) (2019)
- CMS-367b Monthly Pricing (PDF, 29.45 KB) (2019)
- CMS-367c Product File (PDF, 55.92 KB) (2019)
- CMS-367d Labeler Contact Form (PDF, 44.07 KB) (2019)
Current State File Formats and Data Definitions
- CMS-R-144 State Invoice (PDF, 31.46 KB) (2021)
- CMS-R-144 State Invoice Data Definitions (PDF, 24.33 KB) (2019)
- CMS-R-144 State Invoice Record Format (PDF, 17.02 KB) (2019)
- CMS-368 State Agency Contact Form (PDF, 44.66 KB) (2021)
- UROA File Layout (PDF, 67.23 KB) (2015)
- Rebate File Layout (PDF, 59.82 KB) (2016)
- Quarterly AMP File Layout (PDF, 17.92 KB) (2011)
- Monthly AMP File Layout (PDF, 18.9 KB) (2011)
Effective July 1, 2021 Manufacturer MDP File Formats (.TXT / .CSV)
- MDP CMS Form-304 Reconciliation of State Invoice (ROSI) (PDF, 66.65 KB) (effective July 1, 2021)
- MDP CMS Form-304 Reconciliation of State Invoice (ROSI) Electronic Format (PDF, 41.48 KB) (effective July 1, 2021)
- MDP CMS Form-304 Reconciliation of State Invoice (ROSI) Instructions (PDF, 32.96 KB) (effective July 1, 2021)
- MDP CMS Form-304a Prior Quarter Adjustment Statement (PQAS) (PDF, 104.28 KB) (effective July 1, 2021)
- MDP CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Electronic Format (PDF, 38.8 KB) (effective July 1, 2021)
- MDP CMS Form-304a Prior Quarter Adjustment Statement (PQAS) Instructions (PDF, 29.29 KB) (effective July 1, 2021)
- MDP CMS Form-367a Quarterly Pricing (PDF, 29.23 KB) (effective July 1, 2021)
- MDP CMS Form-367b Monthly Pricing (PDF, 22.18 KB) (effective July 1, 2021)
- MDP CMS Form-367c Product Data (PDF, 41.24 KB) (effective July 1, 2021)
- MDP CMS Form-367d Manufacturer Contact Form (PDF, 37.18 KB) (effective July 1, 2021)
Effective July 1, 2021 State MDP File Formats (.TXT / .CSV)
- MDP CMS-R-144 State Invoice (PDF, 23.35 KB) (effective July 1, 2021)
- MDP CMS-R-144 State Invoice Record Format (PDF, 43.83 KB) (effective July 1, 2021)
- MDP CMS-R-144 State Invoice Data Definitions (PDF, 128.5 KB) (effective July 1, 2021)
- MDP CMS-368 State Agency Contact Form (PDF, 39.65 KB) (effective July 1, 2021)
- MDP CMS Quarterly UROA File Format (PDF, 22.12 KB) (effective July 1, 2021)
- MDP CMS Quarterly Rebate File Format (PDF, 44.47 KB) (effective July 1, 2021)
- MDP CMS Quarterly AMP File Format (PDF, 27.93 KB) (effective July 1, 2021)
- MDP CMS Monthly AMP File Format (PDF, 28.93 KB) (effective July 1, 2021)
State & Manufacturer MDP File Format/Data Definition Email Communications
- State .CSV File Format (PDF, 276.5 KB) (December 17, 2020)
- Manufacturer .CSV File Format (PDF, 121.84 KB) (December 17, 2020)
- State Additional Edits to Final Version (PDF, 373.67 KB) (October 27, 2020)
- Manufacturers Additional Edits to Final Version (PDF, 288.41 KB) (October 27, 2020)
- State Final Versions (PDF, 497.61 KB) (September 1, 2020)
- Manufacturer Final Revisions (PDF, 493.09 KB) (September 1, 2020)
- State Final Revisions (PDF, 467.27 KB) (June 18, 2020)
- Manufacturer Final Revisions (PDF, 482.49 KB) (June 18, 2020)
- State Upcoming Changes (PDF, 388.84 KB) (March 9, 2020)
- State Upcoming Changes Corrected (PDF, 233.73 KB) (March 9, 2020)
- Manufacturer Upcoming Changes (PDF, 429.44 KB) (March 9, 2020)
- Manufacturer Upcoming Changes Corrected (PDF, 174.04 KB) (March 9, 2020)
If you have any questions, please contact us at MDROperations@cms.hhs.gov.
Disclaimer: Please note that the information provided on this web page does not bind or obligate the Centers for Medicare and Medicaid Services (CMS). The statements included on this web page are intended to provide information on Medicaid Drug Rebate Program File Formats and Data Definitions and do not in any way revise or modify the requirements set forth in Section 1927 of the Act, the national drug rebate agreement (NDRA), subsequent program releases, or regulations.
Page last updated February 17, 2021