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However, under the proposed methodology, the term decile no longer accurately describes how the benchmark ranges would be constructed

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In circumstances in which negative or zero manufacturer ASP data is reported for all NDCs for a given quarter, that negative or zero ASP amount would be used to compare 106 percent of WAC to 106 percent of ASP to determine the lower value for use as the specified amount

However, the comments received during PRMR did not include comments from a major rheumatologic association that has called for the development of an episode-based measure for rheumatologists