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Overall vaccination rates among adults, including older adults, are generally low

CMS understands covered entities typically contract with 340B third-party administrators (340B TPAs) to determine 340B eligibility of claims using data submitted by covered entities and their contract pharmacies

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If the manufacturer makes a timely request that includes all the supporting documentation, and CMS determines, based on its review of the reduction request and supporting documentation, that a reduction should be granted, CMS would reduce the total rebate amount owed by a manufacturer by 75 percent for the manufacturer's generic Part D rebatable drug or biosimilar for the applicable period in which the event that caused the severe supply chain disruption occurred or began or, the following applicable period if the request is submitted less than 60 calendar days before the end of an applicable period