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If the manufacturer submits a complete and timely extension request, and CMS determines that the information submitted warrants an extension of the rebate reduction, the total rebate amount would be reduced by 75 percent for a second consecutive applicable period for that manufacturer's generic Part D rebatable drug or biosimilar in accordance with proposed 428.302(b)(2)

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Cancers that develop in the lips or oral cavity are usually squamous cell carcinoma