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As described earlier in this proposed rule, CMS has observed that a number of NDC-9s of Part D rebatable drugs approved or licensed on or before October 1, 2021, do not have AMP reported in the period beginning January 1, 2021, and ending September 30, 2021, and a number of NDC-9s of subsequently approved drugs do not have AMP reported in the first calendar year following the drug's first marketed date

Revising paragraphs (a)(2)(iii), (a)(5)(i) introductory text, (a)(5)(i)(A) introductory text, (a)(5)(i)(B), (a)(5)(ii), (a)(5)(iii)(B), and (a)(7)

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That demographic group used to make up 40% of the members of the companys rewards program and they now make up almost half of the membership base

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