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As described in the example in the CY 2025 PFS proposed rule (89 FR 61977), if a generic Part D rebatable drug is currently in shortage during the applicable period beginning October 1, 2023 because the manufacturer had trouble meeting demand for the drug and then in August 2024, the manufacturer faces difficulties securing the API for such drug and believes this may worsen the shortage situation and result in the generic Part D rebatable drug being currently in shortage in the next applicable period, the manufacturer may submit a likely to be in shortage rebate reduction request to CMS providing information on the severity of the likely shortage

Hi, I havent had the vaccine but have experienced terrible insomnia after spending time with a friend who has been covid vaccinated. I am really seeing a pattern the night after spending time with her