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Mol Med Rep (2015) 12:692531

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The following formula illustrates how CMS would calculate the inflation-adjusted payment amount for a Part D rebatable drug as proposed in 428.202(f): (Benchmark period manufacturer price) multiplied by (applicable period CPI-U divided by benchmark period CPI-U) As described earlier in this proposed rule and proposed in 428.202(a), CMS will use the inflation-adjusted payment amount to calculate the per unit Part D drug inflation rebate amount by determining the amount by which the AnMP for a Part D rebatable drug exceeds the inflation-adjusted payment amount for a Part D rebatable drug for an applicable period

Moreover, we are proposing to add a fourth exclusion to paragraph (2) to address drugs for which the date of first sale does not adequately approximate the first date of payment under Part B due to an applicable NCD