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CMS acknowledges requests from interested parties to provide additional data elements such as claims-level data at the NDC-11 level, that are not included in this proposal

(ii) In circumstances in which negative or zero manufacturer's ASP data is reported for all NDCs for a given quarter, and other biosimilars referencing the same reference product report positive ASP data for the given quarter, the payment limit for the given quarter is the sum of the following until at least one NDC for the drug has positive manufacturer's ASP data for a quarter: (A) the volume-weighted average of the ASP data from all other biosimilars of the same reference product

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When the nicotine drip mixes with this acid and irritates your esophagus, it creates acid reflux and hiccups