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The most common types of smokeless tobacco in the US are chewing tobacco, plug, twist, snuff, snus, and dissolvable tobacco products
If an ACO fails to reallocate prepaid shared savings it received by a deadline specified by CMS, the ACO must repay all prepaid shared savings it received and may be subject to compliance action ( as specified in 425.216 and 425.218
Specifically, we are proposing to codify that in cases where negative or zero ASP data is reported for some, but not all, NDCs of a multiple source drug, we would calculate the payment limit using the positive ASP data reported for the drug, except for the existing carryover policy for multiple source drugs that we would apply when missing data results in a significant change in the ASP payment limit
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