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To allow for this approach, we proposed to adjust Shared Savings Program expenditure calculations to reflect adjustments occurring after the original 3-month claims run out period for claim or line item payment amounts associated with improper payments

We believe severability applies to each provision of the Part D inflation drug rebate regulation, because deeming any particular provision to be invalid or illegal would not result in a material change to the Medicare Part D Inflation Rebate Program so as to cause all of the requirements that compose the program to be invalid

Therefore, screening history matters before long-term use