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(i) If a published payment limit is not available for the applicable payment amount benchmark quarter, CMS will use the lower of 106 percent of manufacturer-reported ASP or 106 percent of manufacturer-reported WAC
Oral nicotine pouches have spiked in popularity over the last several years, with unit sales increasing by six-fold between 2019 and 2022 and manufacturers building on marketing methods used by e-cigarette companies to target young people including through rewards programs
(ii) For the improvement activities performance category, a data submission must include a response of yes for at least one activity in the MIPS improvement activities inventory
After considering the comments on our CY 2022 proposals, we agreed with commenters that the use of a multi-year transition would help smooth out the changes in payment resulting from the clinical labor pricing update, avoiding potentially disruptive changes in payment for affected interested parties, and promoting payment stability from year-to-year
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