As proposed under proposed 428.204, in cases where a Part D rebatable drug is a line extension, CMS proposes to include the same elements described above in the Preliminary Rebate Report as well as: the NDC for the initial drug
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More information is available in the Measure Justification Form available for download at
Ingredients: Nicotine polacrilex (equal to 2 mg nicotine) - Stop smoking aid Summary: Placeholder Text Bullet: One package of 200 pieces of Nicorette 2 mg Nicotine Gum to help stop smoking Bullet: Stop smoking aids that help you control your nicotine intake and soothe cravings Bullet: Stop smoking aid reduces cravings and withdrawal symptoms associated with quitting smoking as part of OTC nicotine replacement therapy Bullet: Stop smoking aid that is uncoated and easy to take Bullet: Stop smoking aid for people who smoke their first cigarette more than 30 minutes after waking up Bullet: Convenient and portable Nicorette gum that allows for a second piece within the hour for strong or frequent cravings Bullet: Chew 1 piece every 1-2 hours and at least nine pieces of gum per day for the first 6 weeks of a 12 week quit program with behavioral support Inactive Ingredients: Flavors, glycerin, gum base, sodium bicarbonate, sodium carbonate, sorbitol
++ 99447 ( Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional
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