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Bukhari et al., 2018)

Gut 63 , 18541863 (2014)

S., Xiang, J., Verma, A., Luo, M., and Zhao, X

For circumstances in which manufacturer's ASP data is not available prior to the publication deadline for quarterly payment limits as described in this section, payment limit must be determined as follows: (1) For a multiple source drug (as defined in 414.902) (i) In circumstances in which negative or zero manufacturer's ASP data is reported for one or more, but not all, NDCs associated with a billing and payment code for that drug for a given quarter, the payment limit for the given quarter is calculated using only NDCs for that drug with positive manufacturer's ASP data, except in circumstances described in paragraph (i)(1)(iii) of this section