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CMS Final Medicaid Drug Rebate Rule Details New Misclassification Penalties and Numerous Other Changes

FDA Law Blog

Gaulkin — In May 2023, we posted about a CMS proposed regulation that sought to make a wide variety of changes to the Medicaid Drug Rebate Program (MDRP), including a new “price verification survey,” and a controversial proposal to require “stacking” of discounts to different customers when determining best price.

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CMS Publishes Grab Bag of Proposed Changes to the Medicaid Drug Rebate Program

FDA Law Blog

Diagnosis in prescriptions The statutory definition of a “covered outpatient drug” excludes a drug used for an indication that is not a “medically accepted indication,” which is in turn defined as an indication that is approved by FDA or that is favorably noted in specified drug compendia. 42 U.S.C. §§ 1396r-8(k)(3) and 1396r-8(g)(1)(B)(i).

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Aging and Homelessness: Margot Kushel

GeriPal

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? HPV vaccine.

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A Vitamin K Deficient Bleeding AKA Hemorrhagic disease of the newborn podcast

PEMBlog

Updated 2023 Jun 26]. They perceive that the intramuscular vitamin k is a vaccine. Furthermore, parents who refuse IM vitamin k tend to refuse other preventative measures, including the Hep B vaccine at birth, prophylaxis against gonococcal ophthalmia, which is really bad, and subsequent routine vaccination.

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Whoop! There It Is: A Pertinent Pediatric Pertussis Podcast

PEMBlog

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore pertussis, also known as whooping cough – a disease that remains a public health challenge despite widespread vaccination efforts. Pertussis infection in infants and children: Clinical features and diagnosis.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. Go back in your mind, November of 2020, COVID is at its peak, we don’t have vaccines quite yet. That started in November of 2020.

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