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Scores equal to the defined performance threshold receive a neutral (0 percent) payment adjustment

Specifically, the specified amount for single source drugs and biological products is 106 percent of the amount determined under section 1847A(b)(4) of the Actthat is, the lesser of ASP or WACfor the applicable calendar quarter

[666] As the cohort of persons vaccinated as children have grown older, rates of acute hepatitis B among persons aged 30-39 years began to consistently decrease beginning in 2015

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A reconciliation of the rebate amount may result in an increase, decrease, or no change to the rebate amount, compared to the Rebate Report for an applicable calendar quarter (see proposed 427.501(d)(3))