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These discounts made it easier for retailers to sell products at lower prices, which, in turn, made it easier for smokeless tobacco users to pick up their next pouch of moist snuff or finely ground tobacco

To prevent a manufacturer from resetting the payment amount benchmark period and therefore the benchmark period manufacturer price by obtaining a new NDC-9 for the Part D rebatable drug, CMS stated in section 40.2.2 of the revised Medicare Part D Drug Inflation Rebate Guidance that it will use the benchmark period manufacturer price of the earliest NDC-9 of the Part D rebatable drug

For example, dually-enrolled beneficiaries are more likely to have poor functional status, and therefore, may be more likely to be readmitted after a hospitalization. As another example, a patient with diabetes, heart failure, and QMB status may experience food, transportation, or housing insecurity that contributes to difficulty maintaining blood glucose control which can contribute to medical complications including potentially preventable heart failure exacerbations

Note that for services with TCs and PCs, the direct and indirect percentages for a given service do not vary by the PC, TC, and global service