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(1) Manufacturers may appeal the following determinations: (i) A CMS determination that the rebate amount was not paid by the applicable payment deadline as described in 427.505
[49] For the approximately 8.5 million dually eligible beneficiaries who are QMBs, Medicaid provides assistance for patients to meet Medicare's cost-sharing requirements
Because the covered entity and CMS do not exchange dispensed Part D drug information confirming the 340B status of a Part D rebatable drug, CMS is unable to identify 340B units at the claim-level at this time
(b) Drugs and biologicals with average annual total cost below the applicable threshold
US$ 28.83
US$ 29.00
US$ 28.31
US$ 22.68
US$ 29.74
US$ 23.60
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US$ 27.84
US$ 28.43
US$ 23.39
US$ 27.68
US$ 28.85
