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[469] In the CY 2024 PFS proposed rule, we stated that we intend to propose future policies aligning the APP measure set for Shared Savings Program ACOs with the quality measures under the `Universal Foundation' beginning in performance year 2025 (88 FR 52423)

Consistent with the policy established in section 40.5.2 of the revised Medicare Part D Drug Inflation Rebate Guidance, a manufacturer may receive only one extension of the rebate reduction per generic Part D rebatable drug or biosimilar per CMS determination of a severe supply chain disruption, as proposed in 428.302(c)(5)