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Beginning with FY 2024, we are proposing to include hospitals with 412.103 reclassification along with geographically rural hospitals in all rural wage index calculations, and to exclude dual reclass hospitals (hospitals with simultaneous 412.103 and Medicare Geographic Classification Review Board (MGCRB) reclassifications) implicated by the hold harmless provision at section 1886(d)(8)(C)(ii) of the Act

In: Rezaei N., Yazdanpanah N., editors

Melanotan II A peptide known for its effects on melanin production, often studied for tanning, as well as appetite and libido-related pathways

These reflect sterile compounding requirements, specialized delivery technology, or higher-cost active ingredients

& Feige, J

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