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This benchmark shall be adjusted for beneficiary characteristics and such other factors as the Secretary determines appropriate and updated by the projected absolute amount of growth in national per capita expenditures for Parts A and B services under the original Medicare FFS program, as estimated by the Secretary

at nearly 27 percent and the highest rate of spit or chewing tobacco use at 16 percent

If CMS determines there is a severe supply chain disruption for an NDC-11, CMS will apply any reduction of the rebate amount as described in paragraphs (b)(1) and (2) of this section to a Part D rebatable drug at the NDC-9 level

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