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I have been at a plateau/stand still for so long, this makes me feel very hopeful for what is yet to come

Its the same product from the same source

We are also cognizant that some of the definitions for DMHT devices that commenters proposed, or devices commenters recommended should be payable under HCPCS code G0552, including most Class I devices (exempt from 510(k)) may not be aligned with similar terms used by other agencies and may encompass devices not evaluated or authorized by the FDA

of this final rule, we are finalizing the proposed policy that to receive consideration for an inflation rebate reduction for a specific rebatable drug when the manufacturer believes there is a severe supply chain disruption or likely shortage, a manufacturer must submit to CMS a rebate reduction request form along with supporting documentation