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Factor 2: A measure steward is no longer able to maintain the cost measure

CMS notes that, if CMS were to finalize this alternative approach, CMS would be unable to use this approach to calculate the benchmark period manufacturer price in the case of a new NDC-9 of an existing Part D rebatable drug with base date AMP that does not overlap with the time period described in proposed 428.202(c)(1) or (2)

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Second, we exclude providers that have less than half a year of reported cost data