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or (3) a negative adjustment, if their final score is below the performance threshold

and the alternative rebate amount (see proposed 428.401(b)(2))

(2) using an average of units sold based on sales data for several calendar quarters prior to the applicable calendar quarter (for example, an average of the previous four calendar quarters)

Too harsh

Generally, the report noted that payment for supplying other outpatient drugs covered by Medicare Part B were adequate because they are eligible for the administration fee