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We also propose edits to 425.204(f) replacing the phrase shared losses with shared losses and any prepaid shared savings in several paragraphs to clarify that CMS would be able to recoup outstanding prepaid shared savings from an ACO's repayment mechanism

Enforcement of Manufacturer Payment of Rebate Amounts ( 427.600) Section 1847A(i)(7) of the Act gives CMS the authority to impose a civil money penalty equal to at least 125 percent of the rebate amount for each drug for each applicable calendar quarter on a manufacturer that fails to pay the rebate amount for each rebatable Part B drug

Consumers with questions should call the Conagra Consumer Care team at 1-888-299-7646, open 9 am through 5 pm EST, Monday through Friday or visit www.duncanhines.com

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