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( We believe this clarification helps ensure clarity on CMS' policy in applying rebate reductions, which is intended to provide appropriate financial relief for drugs currently in shortage while limiting opportunities for manufacturers to manipulate a shortage start date to align with future price increases that coincide with the application of the reduction, as well as to decrease the amount of the rebate reduction the longer a drug is in shortage as set forth in the CY 2025 PFS proposed rule (89 FR 61974)

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