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This investigation is ongoing and has not identified a cause, but all reported cases have a history of using e-cigarette products

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CMS will exclude from the Part D drug inflation rebate calculations described in this subpart (1) Drugs and biologicals that meet the definition of a Part D rebatable drug but whose manufacturers do not have an agreement in effect with the HHS Secretary under section 1927 of the Act at any point during the applicable period, as determined by CMS through consultation with Medicaid Drug Rebate Program staff and review of the Medicaid Drug Programs system