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(i) For the applicable period beginning October 1, 2025, and subsequent applicable periods, CMS will exclude from the total number of units determined under paragraph (a) of this section units for which a manufacturer provided a discount under the 340B Program (340B units) as follows: (A) For the applicable period beginning October 1, 2025, 340B units will be excluded from the total number of units dispensed for claims with a date of service on or after January 1, 2026

We also explained that our proposals intended to update survey data only (74 FR 33530 through 33531)

We note that there are multiple references to 424.24(c) in the Medicare Benefit Policy Manual, Pub