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And need to develop infrastructure to address the impact of SLT mediated epidemiological effect
Drugs that are determined to have average annual total costs under Part D of less than $100 per individual using such drug per year, adjusted by changes in the CPI-U, will be excluded from Part D drug inflation rebate calculations for the applicable period in question
However, CMS has observed that ASP units are often negative, zero, or missing for several quarters in a four-quarter lookback, so including additional quarters may not necessarily yield additional data that could be used to apportion inflation rebate amounts (and could complicate the calculation of an average by introducing a mix of zero, ( negative, missing, and positive units within a single NDC)
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