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For example, if a generic Part D rebatable drug or biosimilar that is currently in shortage in the applicable period beginning October 1, 2024 is granted a severe supply chain disruption rebate reduction request as a result of a natural disaster that occurs on April 5, 2025, CMS would apply a 75 percent reduction in the rebate amount for the duration of the applicable period in which the natural disaster occurred (that is, October 1, 2024, to September 30, 2025)

Smoking tobacco products include bidis, manufactured cigarettes, hand-rolled cigarettes, pipes, cigars, hookahs, water pipes, and some other smoking tobacco products like chuttas and dhumtiand chillum

Compared with quitting smoking completely, use of heated tobacco products had more consistently harmful effects