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To maintain operational feasibility of this provision and better align the policy with statutory language when the date of first sale reported to CMS does not adequately approximate the date of first payment under Medicare Part B, we are proposing to amend the exclusions in the definition of refundable single-dose container or single-use package drug at 414.902

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That call turned out to be life-changing, the beginning of what has become a 45-year stint on CJAD with a show dedicated to demystifying science and answering listeners questions that have ranged from the thoughtful to the bizarre