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Golden Harvest packages their pipe tobaccos very carefully in order to preserve freshness and eliminate shake, setting themselves apart from other pipe tobacco manufacturers.
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We believe that this change would more appropriately recognize the Advanced APM participation of the eligible clinicians for whom these determinations are being made
Lastly, we are proposing to codify two scenarios when the manufacturer reports negative or zero ASP for all NDCs for a biosimilar for a given quarter: (1) when positive ASP data is available for another biosimilar(s) with the same reference product for the given quarter, we are proposing to set the payment limit equal to the sum of the volume-weighted average of the positive ASP data from all other biosimilars referencing the same ( reference product plus 6 percent (or 8 percent for a qualifying biosimilar biological) of the amount determined under section 1847A(b)(4) of the Act for the reference biological product for the given quarter
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