During our analysis in identifying refundable drugs for the preliminary reports (which are based on available JW modifier data from the first and second quarters of 2023), we learned that some product labeling [244] does not specify the package type terms (for example, whether the product is supplied in a single-dose or single-use package or a multiple-dose preparation)
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Therefore, we do not believe it is appropriate to bundle the weekly and monthly formulations into a single bundled payment since, unlike the drug Sublocade, the Brixadi formulations have different payment limits, and pricing them under the same bundle would not adequately represent the average costs incurred in furnishing these different formulations in an OTP setting