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The manufacturer’s agreement must cover all its labeler codes that contain an applicable drug or a selected drug. All labeler codes that are covered by Discount Program agreements will be distributed to PDP sponsors and posted on the CMS website. Non-applicable drugs (e.g., of the total expenditures for all Part D drugs in 2021.
The NHC remains concerned about the effects that the aggregation of drugs with the same active moiety or active ingredient in the selection process could have on subsequent research. Without appropriate guardrails, CMS’ broad definition of drugs eligible for negotiation may discourage these types of improvements.
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