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If CMS determines a severe supply chain disruption continues into a fifth applicable calendar quarter as described in paragraph (c)(5) of this section, then CMS will reduce the total rebate amount owed by the manufacturer for a Part B rebatable biosimilar biological product by 75 percent for that fifth quarter and an additional 3 consecutive applicable calendar quarters

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Further research is urgently needed to understand whether rural environments are less healthy than urban environments, or whether a different approach needs to be taken to create rural indices of healthy environments more suitable for representing the reality of children in rural and mixed-urban-rural settings

This combo means more irritation and frequent heartburn for smokers

Other Actions Needed to Address Tobacco Use Tobacco 21 is an important component of a comprehensive public health approach to reducing tobacco use