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A faster metabolism may lead to quicker absorption and utilization, potentially speeding up the onset of benefits

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Identification of the Payment Amount Benchmark Quarter (§ 427.302(c)) In the CY 2026 PFS proposed rule (90 FR 32635), we proposed at § 427.302(c)(5) that if data needed to calculate the payment amount in the payment amount benchmark quarter as described in and determined under § 427.302(d)(1) are not available in the calendar quarter beginning July 1, 2021, or the third full calendar quarter after such drug's first marketed date, whichever is later, CMS will use the third full calendar quarter after the Part B rebatable drug is assigned a billing and payment code as the payment amount benchmark quarter