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In Table 101, for the CY 2025 performance period/2027 MIPS payment year, in aggregate, we estimate a burden of 217,432 hours (8 hr 27,179 responses) at a cost of $26,461,474 (27,179 responses $973.60/response)
(1) Removal of Units When a Generic Drug Is No Longer a Part D Rebatable Drug In 428.203(b)(1), CMS proposes to codify the policy established in section 40.2.8 of the revised Medicare Part D Drug Inflation Rebate Guidance to exclude from the rebate calculation any units of a generic drug dispensed on or after the date that such generic drug no longer meets the definition of a Part D rebatable drug
Based on further review, CMS has observed that there are several instances where there are multiple manufacturers in a billing and payment code and the ASP data, including the number of units sold, for all or some manufacturers' NDCs within a billing and payment code may be negative, zero, or missing
Unlike many herbal chewing blends, BacOff produces the amber liquid desired by most dippers