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(3) Payment Limit Based on the Federal Supply Schedule (FSS) Since NADAC pricing is only available for drugs typically dispensed through retail community pharmacies, there could be circumstances in which ASP and NADAC data are not available for DCAPS drugs

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Additionally, allowing separate payment for APCM services in RHCs and FQHCs is intended to reflect the additional time and resources necessary for the unique components of care coordination services

The remaining 34 percent of RHCs are independent clinics owned by a healthcare provider or entity and though not as common, may be owned and/or operated by a healthcare system

Better Pain Management Outcomes Many chronic pain management therapies, such as physical therapy, medication, and regenerative treatments, are more effective in patients who do not use tobacco