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The guidance defines a multiple-dose container as a container of sterile medication for parenteral administration that has met antimicrobial effectiveness testing requirements or is excluded from such testing requirements

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Additionally, we believe that the benefits of scoring an increased number of measures may offset the increased burden that some ACOs may face in adopting the additional measures

(7) The ACO has in place an adequate repayment mechanism in accordance with 425.204(f) that can be used to recoup outstanding prepaid shared savings

Therefore, we are not proposing any adjustments in burden because we assume the additional cost requirement would not add significant burden to the currently approved 10 hours per application first established in the CY 2018 Quality Payment Program final rule (82 FR 30216)