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This commenter noted that manufacturers participating in the MDRP already determine whether their products represent the same dosage form and strength of the same drug and where this is the case for a new NDC-9, the Medicaid Market Date in the Medicaid Drug Programs system will precede the Package Size Intro Date. This commenter recommended CMS rely on these existing manufacturer-provided fields and where such MDRP data are not available, CMS should develop a process by which manufacturers that do not participate in the MDRP can voluntarily self-identify that an NDC-9 is a new NDC-9 of an existing drug for purposes of calculating the benchmark period manufacturer price

Typically, 23 months of consistent use is needed for noticeable changes, depending on dosage, skin type, and metabolism

Band leader, Tony David received a Volunteer of the Year award

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