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This rulemaking also proposes new policies for the Medicare Prescription Drug Inflation Rebate Program, including removal of units of drugs subject to discarded drug refunds from the Part B rebate amounts, exclusion of units for which a manufacturer provides a discount under the 340B Program from the Part D inflation rebate amount starting on January 1, 2026, the process for reconciliation of a Part B or Part D rebate amount to incorporate certain revised information, and procedures for imposing civil money penalties on manufacturers that do not pay Part B or Part D inflation rebate amounts within a specified period of time

If this proposal is finalized, the CAHPS for MIPS Survey Vendor Participation Form [784] and the CAHPS for MIPS Survey Minimum Business Requirements [785] in the QPP Resource Library would be updated to detail the required survey vendor cost estimate information

Exposure to tobacco smoke was assessed retrospectively, using questionnaire responses, and was not validated by objective measurements

Call Quit VET at 1-855-QUIT-VET (1-855-784-8838) for counseling and help with developing a plan to stop chewing or dipping tobacco