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We note that we have not proposed any specific exclusions for rural practices beyond that of rural areas that do not meet our definition of a mandatory geographic area

Additionally, we proposed to revise 427.302(d)(1)(i) by removing If a published payment limit is not available for the applicable payment amount benchmark quarter, CMS will use the lower of 106 percent of manufacturer-reported ASP or 106 percent of manufacturer-reported WAC (90 FR 32636)

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For example, low or fluctuating estrogen can be associated with things like mood swings, brain fog, and anxiety