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They are obtained by prescription from your health care provider

CMS proposes at proposed 428.401 the use of an initial Preliminary Rebate Report and a subsequent Rebate Report, with an opportunity for manufacturers to identify certain mathematical errors (see proposed 428.403 and discussed in further detail later in this section) and two regular reconciliations of the rebate amount to account for updates to claims and payment data at 12 months and 36 months after the Rebate Report is issued as described in proposed 428.401(d)

Updating these calculation inputs at a regular reconciliation interval will result in a rebate amount that more fully reflects the majority of shifts in the underlying data following additional time for claims run-out, which refers to the maturation of claims in the claims processing system

[609] Additional characteristics that could be considered in participant selection in a model could be related to factors documented to be associated with disparities in access to specialty care and disparities in specialty-sensitive outcomes

We also refer readers to 414.1305 for the definition of attestation, 414.1325 for data submission requirements, and 414.1380(b)(4) for Promoting Interoperability performance category scoring