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(6) Situations in Which Manufacturers Do Not Report Units Under Section 1927(b)(3)(A)(iv) Section 1860D-14B of the Act generally requires CMS to determine the per unit Part D drug inflation rebate amount using the monthly units reported by manufacturers to the Medicaid Drug Programs system under section 1927(b)(3)(A)(iv) of the Act

For CY 2025, the proposed MEI increase is estimated to be 3.6 percent and is based on the expected historical percentage increase of the 2017-based MEI

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The interested parties also stated that the direct supervision requirement can unfairly delay care for Medicare patients when, for example, a PTPP or OTPP is out sick, the practice does not have alternative coverage, and appointments for Medicare patients must be canceled