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[697] Consequently, we do not believe it is likely that most patients who may require WBT would trigger the other pathway to qualify as ALS2, the administration of at least three medications by intravenous push/bolus or by continuous infusion, excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate)

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Based on these considerations, similar to the multi-step process for the Rebate Report proposed in 427.501(b) and (c), in summary, CMS proposes a multi-step process to provide each manufacturer of a Part B rebatable drug with a reconciled rebate amount on a regular basis