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In this final rule, we are finalizing at 428.202(d)(3), with modifications to 428.202(c)(3) and (4), the alternative proposed in the CY 2025 PFS proposed rule (89 FR 61966) for CMS to calculate the benchmark period manufacturer price of a new NDC-9 of an existing Part D rebatable drug by using other information reported by a manufacturer under the MDRP for such Part D rebatable drug as available, such as base date AMP, if such base date AMP was reported for a calendar quarter that overlaps with the time period described at 428.202(c)(1) or (2)

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Amber vials provide partial protection, but storage in opaque secondary containers eliminates photodegradation risk entirely

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Without it, the payer bundles the vaccine administration into the preventive visit payment and 90471 denies under CO-97