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We note that the cost sharing amounts of rebatable drugs paid under the OPPS published in the quarterly Addendum A and B updates reflect the inflation-adjusted coinsurance applied as a percent of the payment amount that would otherwise apply in accordance with section 1847A(b)(1)(B) or (C) of the Act, as determined by the Secretary pursuant to 1847A(i)(5) of the Act using the methodology in 427.201

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Both materials are supplied strictly for research use only, not for human consumption, and all handling should follow established laboratory safety practice

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Fix: Verify coding requirements with each major payer before submitting the first tirzepatide claim

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