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Under the proposed approach we would exclude payment amounts from expenditure and revenue calculations for the relevant calendar year for which the SAHS billing activity is identified, as well as from historical benchmarks used to reconcile the ACO for a performance year corresponding to the calendar year for which the SAHS billing activity is identified (section III.G.7.d of this proposed rule)

p16 hypermethylation: A biomarker for increased esophageal cancer susceptibility in high incidence region of North East India

If a manufacturer's rebate reduction request does not meet the criteria in proposed 427.402(c)(4) or if the rebate reduction request is incomplete or untimely based on the requirements in proposed 427.402(c), CMS would deny the request

CMS notes that the Medicare Part D Drug Inflation Rebate Program does not apply to multiple source generic drugs, which are the generic drugs most likely to be in shortage