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Because drugs and biologicals on the FDA shortage lists are maintained at the NDC-10 level, and Part B drug inflation rebates are calculated at the HCPCS level, CMS proposes in 427.401(c) that if any NDC-10 assigned to the HCPCS code(s) is currently in shortage, CMS would apply the rebate reduction to all of the NDCs under the relevant HCPCS code(s)

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The purpose of the TSYPA is to protect the health of young Canadians by restricting their access to tobacco products in light of the risks associated with the use of tobacco

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When performing the reconciliation described at 428.401(d), CMS would reexamine whether the manufacturer was required to report AMP for any part of the applicable period for the Part D rebatable drug

While this thinking can be true to a slight degree, in most cases it actually accomplishes the exact opposite