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++ We are specifying at 425.610(i)(4)(ii), except as specified in paragraph (i)(4)(iii) of this section, if no end date is indicated on the ACO's application or otherwise provided to CMS in a form and manner specified by CMS, described in paragraph (i)(4)(i) of this section, CMS applies a 90-day duration for purposes of determining the time period during which the ACO was affected by the extreme and uncontrollable circumstance

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This keeps the math identical to every other vial size using the base-10 approach, where each 10 units equals 1mg

We solicited comments on our proposed ASM redistribution percentage and alternatives considered