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If there is more than one WAC per billing unit for the drug, the payment limit would be set using the lowest WAC per billing unit

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In detail, first, as specified in proposed 428.401(d) and similar to the Preliminary Rebate Report process proposed in 428.401(b), for each reconciliation CMS proposes to provide the manufacturer with information about the preliminary reconciliation of the rebate amount at least 1 month prior to the issuance of the reconciled rebate amount (see proposed 428.401(d)) to each manufacturer of a Part D rebatable drug for an applicable period

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And, of course, theres the infamous scene in "The Sandlot" where the kids stuff their mouths full of Red Man (now known as Americas Best after an overdue name change) before vomiting all over the tilt-a-wheel