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Ask About the Transition Plan: If your provider agrees to a switch, ask specifically about the starting dose and if there will be a gap between the two medications

Several commenters, including many associations, urged CMS to use its special exceptions and adjustments authority under section 1886(d)(5)(I)(i) of the Act to implement a retrospective one-time adjustment for CY 2026 to account for the underestimation of the market basket updates over the last several years

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Medical reviews may also help identify concerns early before complications become more serious

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