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Claims-Based Methodology To Remove 340B Units From Rebate Calculations In the CY 2026 PFS proposed rule, we proposed to implement § 428.203(b)(2) using a claims-based methodology [354] to remove 340B units from the Part D inflation rebate calculations by evaluating whether a Prescription Drug Event (PDE) record is potentially 340B-eligible based on (1) the affiliation of the National Provider Identifier (NPI) of the prescriber associated with that PDE record with a registered covered entity, and (2) the designation of the dispensing pharmacy associated with that PDE record as a 340B contract pharmacy (hereinafter “Prescriber-Pharmacy Methodology”)
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