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CMS proposes in 427.402(c)(5) that if the manufacturer believes a severe supply chain disruption continues into a fifth consecutive calendar quarter after the start of the natural disaster or other unique or unexpected event, the manufacturer may request a reduction of the rebate amount for the fifth through eighth calendar quarters by submitting a rebate reduction extension request to CMS along with any new supporting documentation

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[81] Arson was suspected, but the cause of the fire was never officially determined

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The microscopic analysis indicated that some of the SLT products like khaini were finely processed and available in filter pouches for users convenience and prolonged use leading to prolonged retention and addiction potential