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If a generic drug is granted a likely to be in shortage reduction for an applicable period and such drug is currently in shortage in the following applicable period, CMS will apply the gradually declining reduction in the rebate amount under the shortage policy set forth in 428.301 for the subsequent applicable periods in which such drug is currently in shortage

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By supplying a concentrated dose of Hydroxocobalamin directly into the bloodstream, Hycomin Inj

This fact doesnt change just because someone, somewhere wrote down that we only need four injections a year in an attempt to try to balance the books