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If these policies were not applied to rebate calculations beginning with the applicable period that began on October 1, 2022, CMS would be unable to calculate a benchmark period manufacturer price for certain new NDC-9s of Part D rebatable drugs using the policy described in the revised Medicare Part D Drug Inflation Rebate Guidance since, as explained in the CY 2025 PFS proposed rule (89 FR 61768), the policy described in the revised guidance is not operationally feasible at this time

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