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Description

One commenter suggested that CMS should consult with interested parties to determine what other services should be considered preventive. Some commenters had questions regarding coverage and payment for DCAPS drugs under Medicare Advantage and Medicare Prescription Drug Plans

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We are also finalizing at 428.202(d)(3), with modifications to 428.202(c)(3) and (4), the alternative proposed in the CY 2025 PFS proposed rule for CMS to calculate the benchmark period manufacturer price of a new NDC-9 of an existing Part D rebatable drug by using the base date AMP reported under the MDRP for such Part D rebatable drug and will apply this ( policy to rebate calculations beginning with the applicable period that began on October 1, 2022

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