,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #dhie  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bf1 #bjbc,mr4  
,pallone 7= himself1 ,mr4 ,neal1 & ,mr4 
,scott ( ,virg9ia7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,ways & ,means1 &        
,education & ! ,work=ce1 = a p]iod to be
 subsequ5tly det]m9$ by ! ,speak]1 9 ea*
 case = consid]ation ( su* provisions z 
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to exp& !    
drug price negotiation program1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,l[]+ ,drug ,co/s =        
,am]ican ,families ,act4  #b4 ,exp&+ !  
drug price negotiation program  7a7     
,increas+ ! numb] ( drugs subject to    
negotiation ,section #aaib7;a77#d7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;f-#a7;a77#d77 is am5d$ by /rik+   
#bj ea* place x appe>s & ins]t+ #ej 9   
ea* su* place4  7b7 ,expansion (        

def9ition ( maximum fair price eligible 
individual ,section #aaia7;c77#b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;f-#a7;c77#b77 is am5d$-- 7#a7 9   
subp>agraph 7,a71 by ins]t+ 1 or a      
p>ticipant1 b5efici>y1 or enrollee :o is
 enroll$ "u a gr\p heal? plan or heal?  
insurance cov]age (f]$ 9 ! gr\p or      
individual m>ket 7z su* t]ms are def9$ 9
 section #bgia ( ! ,public ,heal?       
,s]vice ,act7 ) respect to :i* !re is 9 
effect an agreem5t ) ! ,secret>y "u     
section #aaig ) respect to su* select$  
drug z s furni%$ or disp5s$ aft] su*    
select$ drug2 &  7#b7 9 subp>agraph     
7,b71 by ins]t+ 1 or a p>ticipant1      
b5efici>y1 or enrollee :o is enroll$ "u 
a gr\p heal? plan or heal? insurance    
cov]age (f]$ 9 ! gr\p or individual     
m>ket 7z su* t]ms are def9$ 9 section   
#bgia ( ! ,public ,heal? ,s]vice ,act7 )
 respect to :i* !re is 9 effect an      
agreem5t ) ! ,secret>y "u section #aaig 
) respect to su* select$ drug z s       
furni%$ or adm9i/]$ aft] su* select$    

drug4  7c7 ,application ( adm9i/rative  
proc$ures to new maximum fair price     
eligible individuals ,section           
#aaif7;a77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;f-#e7;a77#c77 is  
am5d$-- 7#a7 9 subp>agraph 7,a71 by     
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,c7 maximum fair price   
eligible individuals n describ$ 9       
subp>agraph 7,a7 or 7,b74  4  7d7 ,heal?
 insur] agreem5ts ,"p ,e ( title ,,xi ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;f et seq47 is am5d$-- 7#a7 by     
r$esignat+ sections #aaig & #aaih z     
sections #aaih & #aaii1 respectively2 & 
7#b7 by ins]t+ aft] section #aaif !     
foll[+ new section3  #aaig4 ,volunt>y   
p>ticipation by o!r heal? plans  7a7    
,agreem5t ,to p>ticipate "u program     
7#a7 ,9 g5]al ,subject to p>agraph 7#b71
 "u ! program "u ?is "p ! ,secret>y %all
 be treat$ z hav+ 9 effect an agreem5t )
 a gr\p heal? plan or heal? insurance   

issu] (f]+ gr\p or individual heal?     
insurance cov]age 7z su* t]ms are def9$ 
9 section #bgia ( ! ,public ,heal?      
,s]vice ,act71 ) respect to a price     
applicability p]iod & a select$ drug )  
respect to su* p]iod-- 7,a7 9 ! case su*
 select$ drug furni%$ or disp5s$ at a   
ph>macy or by mail ord] s]vice if       
cov]age is provid$ "u su* plan or       
cov]age dur+ su* p]iod = su* select$    
drug z s furni%$ or disp5s$2 &  7,b7 9 !
 case su* select$ drug furni%$ or       
adm9i/]$ by a hospital1 physician1 or   
o!r provid] ( s]vices or suppli] if     
cov]age is provid$ "u su* plan or       
cov]age dur+ su* p]iod = su* select$    
drug z s furni%$ or adm9i/]$4  7#b7     
,opt+ out ( agreem5t ,! ,secret>y %all n
 be treat$ z hav+ 9 effect an agreem5t  
"u ! program "u ?is "p ) a gr\p heal?   
plan or heal? insurance issu] (f]+ gr\p 
or individual heal? insurance cov]age ) 
respect to a price applicability p]iod &
 a select$ drug ) respect to su* p]iod  
if su* a plan or issu] affirmatively    

elects1 ?r\gh a process specifi$ by !   
,secret>y1 n to p>ticipate "u ! program 
) respect to su* p]iod & drug4  7b7     
,publication ( election ,) respect to   
ea* price applicability p]iod & ea*     
select$ drug ) respect to su* p]iod1 !  
,secret>y & ! ,secret>y ( ,labor & !    
,secret>y ( ! ,treasury1 z applicable1  
%all make public a li/ ( ea* gr\p heal? 
plan & ea* heal? insurance issu] (f]+   
gr\p or individual heal? insurance      
cov]age1 ) respect to :i* cov]age is    
provid$ "u su* plan or cov]age = su*    
drug1 t has elect$ "u subsection 7a7 n  
to p>ticipate "u ! program ) respect to 
su* p]iod & drug4  4  7e7 ,application  
to gr\p heal? plans & heal? insurance   
cov]age  7#a7 ,,phsa ,"p ,d ( title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is 
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgii;,a-#aa4 ,drug ,price    
,negotiation ,program & application (   
maximum fair prices  7a7 ,9 g5]al ,9 !  
case ( a gr\p heal? plan or heal?       

insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age t is treat$ "u  
section #aaig ( ! ,social ,security ,act
 z hav+ 9 effect an agreem5t ) !        
,secret>y "u ! ,drug ,price ,negotiation
 ,program "u "p ,e ( title ,,xi ( su*   
,act1 ) respect to a price applicability
 p]iod 7z def9$ 9 section #aaia7;b7 (   
su* ,act7 & a select$ drug 7z def9$ 9   
section #aaib7;c7 ( su* ,act7 ) respect 
to su* p]iod = :i* cov]age is provid$ "u
 su* plan or cov]age-- 7#a7 ! provisions
 ( su* "p %all apply-- 7,a7 9 ! case !  
drug is furni%$ or disp5s$ at a ph>macy 
or by a mail ord] s]vice1 to su* plan or
 cov]age1 & to ! p>ticipants1           
b5efici>ies1 & enrollees enroll$ "u su* 
plan or cov]age1 dur+ su* p]iod1 )      
respect to su* select$ drug1 9 ! same   
mann] z su* provisions apply to         
prescription drug plans & ,,ma-,,pd     
plans1 & to p>ticipants1 b5efici>ies1 & 
enrollees enroll$ "u su* prescription   
drug plans & ,,ma-,,pd plans dur+ su*   
p]iod2 &  7,b7 9 ! case ! drug is       

furni%$ or adm9i/]$ by a hospital1      
physician1 or o!r provid] ( s]vices or  
suppli]1 to su* plan or cov]age1 & to ! 
p>ticipants1 b5efici>ies1 & enrollees   
enroll$ "u su* plan or cov]age1 & to    
hospitals1 physicians1 & o!r provid]s ( 
s]vices & suppli]s dur+ su* p]iod1 )    
respect to su* drug 9 ! same mann] z su*
 provisions apply to ! ,secret>y1 to    
p>ticipants1 b5efici>ies1 & enrollees   
entitl$ to b5efits "u "p ,a ( title     
,,xviii or enroll$ "u "p ,b ( su* title1
 & to hospitals1 physicians1 & o!r      
provid]s & suppli]s p>ticipat+ "u title 
,,xviii dur+ su* p]iod2  7#b7 ! plan or 
issu] %all apply any co/-%>+            
responsibilities "u su* plan or cov]age1
 ) respect to su* select$ drug1 by      
sub/itut+ an am\nt n m ?an ! maximum    
fair price negotiat$ "u su* "p ,e (     
title ,,xi = su* drug 9 lieu ( ! drug   
price ^u :i* ! co/-%>+ w\ld h o!rwise   
appli$1 & su* co/-%>+ responsibilities )
 respect to su* select$ drug may n exce$
 su* maximum fair price2 &  7#c7 !      

,secret>y %all apply ! provisions ( su* 
"p ,e to su* plan1 issu]1 & cov]age1 su*
 p>ticipants1 b5efici>ies1 & enrollees s
 enroll$ 9 su* plans & cov]age1 & su*   
hospitals1 physicians1 & o!r provid]s & 
suppli]s p>ticipat+ 9 su* plans &       
cov]age4  7b7 ,notification reg>d+      
nonp>ticipation 9 ,drug ,price          
,negotiation ,program ,a gr\p heal? plan
 or a heal? insurance issu] (f]+ gr\p or
 individual heal? insurance cov]age %all
 publicly disclose1 9 a mann] & 9       
accordance ) a process specifi$ by !    
,secret>y1 any election made "u section 
#aaig ( ! ,social ,security ,act by su* 
plan or issu] to n p>ticipate 9 ! ,drug 
,price ,negotiation ,program "u "p ,e ( 
title ,,xi ( su* ,act ) respect to a    
select$ drug 7z def9$ 9 section         
#aaib7;c7 ( su* ,act7 = :i* cov]age is  
provid$ "u su* plan or cov]age be=e !   
beg9n+ ( ! plan ye> = :i* su* election 0
 made4  4  7#b7 ,,erisa  7,a7 ,9 g5]al  
,subp>t ,b ( "p #g ( subtitle ,b ( title
 ,i ( ! ,employee ,retirem5t ,income    

,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aaha et seq47 is am5d$ by add+ at ! end
 ! foll[+ new section3  #gbf4 ,drug     
,price ,negotiation ,program &          
application ( maximum fair prices  7a7  
,9 g5]al ,9 ! case ( a gr\p heal? plan  
or heal? insurance issu] (f]+ gr\p heal?
 insurance cov]age t is treat$ "u       
section #aaig ( ! ,social ,security ,act
 z hav+ 9 effect an agreem5t ) !        
,secret>y ( ,heal? & ,human ,s]vices "u 
! ,drug ,price ,negotiation ,program "u 
"p ,e ( title ,,xi ( su* ,act1 ) respect
 to a price applicability p]iod 7z def9$
 9 section #aaia7;b7 ( su* ,act7 & a    
select$ drug 7z def9$ 9 section         
#aaib7;c7 ( su* ,act7 ) respect to su*  
p]iod = :i* cov]age is provid$ "u su*   
plan or cov]age-- 7#a7 ! provisions (   
su* "p %all apply1 z applicable-- 7,a7 9
 ! case ! drug is furni%$ or disp5s$ at 
a ph>macy or by a mail ord] s]vice1 to  
su* plan or cov]age1 & to ! p>ticipants 
& b5efici>ies enroll$ "u su* plan or    
cov]age1 dur+ su* p]iod1 ) respect to   

su* select$ drug1 9 ! same mann] z su*  
provisions apply to prescription drug   
plans & ,,ma-,,pd plans1 & to           
p>ticipants & b5efici>ies enroll$ "u su*
 prescription drug plans & ,,ma-,,pd    
plans dur+ su* p]iod2 &  7,b7 9 ! case !
 drug is furni%$ or adm9i/]$ by a       
hospital1 physician1 or o!r provid] (   
s]vices or suppli]1 to ! gr\p heal? plan
 or cov]age (f]$ by an issu]1 to !      
p>ticipants & b5efici>ies enroll$ "u su*
 plans or cov]age1 & to hospitals1      
physicians1 & o!r provid]s ( s]vices &  
suppli]s dur+ su* p]iod1 ) respect to   
su* drug 9 ! same mann] z su* provisions
 apply to ! ,secret>y ( ,heal? & ,human 
,s]vices1 to p>ticipants & b5efici>ies  
entitl$ to b5efits "u "p ,a ( title     
,,xviii or enroll$ "u "p ,b ( su* title1
 & to hospitals1 physicians1 & o!r      
provid]s & suppli]s p>ticipat+ "u title 
,,xviii dur+ su* p]iod2  7#b7 ! plan or 
issu] %all apply any co/-%>+            
responsibilities "u su* plan or cov]age1
 ) respect to su* select$ drug1 by      

sub/itut+ an am\nt n m ?an ! maximum    
fair price negotiat$ "u su* "p ,e (     
title ,,xi = su* drug 9 lieu ( ! drug   
price ^u :i* ! co/-%>+ w\ld h o!rwise   
appli$1 & su* co/-%>+ responsibilities )
 respect to su* select$ drug may n exce$
 su* maximum fair price2 &  7#c7 !      
,secret>y %all apply ! provisions ( su* 
"p ,e to su* plan1 issu]1 & cov]age1 &  
su* p>ticipants & b5efici>ies s enroll$ 
9 su* plans4  7b7 ,notification reg>d+  
nonp>ticipation 9 ,drug ,price          
,negotiation ,program ,a gr\p heal? plan
 or a heal? insurance issu] (f]+ gr\p   
heal? insurance cov]age %all publicly   
disclose 9 a mann] & 9 accordance ) a   
process specifi$ by ! ,secret>y any     
election made "u section #aaig ( !      
,social ,security ,act by ! plan or     
issu] to n p>ticipate 9 ! ,drug ,price  
,negotiation ,program "u "p ,e ( title  
,,xi ( su* ,act ) respect to a select$  
drug 7z def9$ 9 section #aaib7;c7 ( su* 
,act7 = :i* cov]age is provid$ "u su*   
plan or cov]age be=e ! beg9n+ ( ! plan  

ye> = :i* su* election 0 made4  4  7,b7 
,application to retiree & c]ta9 small   
gr\p heal? plans ,section #gcb7;a7 ( !  
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aaia;a7a77 
is am5d$ by /rik+ section #gaa & ins]t+ 
sections #gaa & #gbf4  7,c7 ,cl]ical    
am5dm5t ,! table ( sections = subp>t ,b 
( "p #g ( subtitle ,b ( title ,i ( !    
,employee ,retirem5t ,income ,security  
,act ( #aigd is am5d$ by add+ at ! end !
 foll[+3  ,sec4 #gbf4 ,drug ,price      
,negotiation ,program & application (   
maximum fair prices4  4  7#c7 ,,irc     
7,a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+ new     
section3  #ihbf4 ,drug ,price           
,negotiation ,program & application (   
maximum fair prices  7a7 ,9 g5]al ,9 !  
case ( a gr\p heal? plan t is treat$ "u 
section #aaig ( ! ,social ,security ,act
 z hav+ 9 effect an agreem5t ) !        
,secret>y ( ,heal? & ,human ,s]vices "u 
! ,drug ,price ,negotiation ,program "u 

"p ,e ( title ,,xi ( su* ,act1 ) respect
 to a price applicability p]iod 7z def9$
 9 section #aaia7;b7 ( su* ,act7 & a    
select$ drug 7z def9$ 9 section         
#aaib7;c7 ( su* ,act7 ) respect to su*  
p]iod = :i* cov]age is provid$ "u su*   
plan-- 7#a7 ! provisions ( su* "p %all  
apply1 z applicable-- 7,a7 if cov]age ( 
su* select$ drug is provid$ "u su* plan 
if ! drug is furni%$ or disp5s$ at a    
ph>macy or by a mail ord] s]vice1 to !  
plan1 & to ! p>ticipants & b5efici>ies  
enroll$ "u su* plan dur+ su* p]iod1 )   
respect to su* select$ drug1 9 ! same   
mann] z su* provisions apply to         
prescription drug plans & ,,ma-,,pd     
plans1 & to p>ticipants & b5efici>ies   
enroll$ "u su* prescription drug plans &
 ,,ma-,,pd plans dur+ su* p]iod2 &  7,b7
 if cov]age ( su* select$ drug is       
provid$ "u su* plan if ! drug is furni%$
 or adm9i/]$ by a hospital1 physician1  
or o!r provid] ( s]vices or suppli]1 to 
! plan1 to ! p>ticipants & b5efici>ies  
enroll$ "u su* plan1 & to hospitals1    

physicians1 & o!r provid]s ( s]vices &  
suppli]s dur+ su* p]iod1 ) respect to   
su* drug 9 ! same mann] z su* provisions
 apply to ! ,secret>y ( ,heal? & ,human 
,s]vices1 to p>ticipants & b5efici>ies  
entitl$ to b5efits "u "p ,a ( title     
,,xviii or enroll$ "u "p ,b ( su* title1
 & to hospitals1 physicians1 & o!r      
provid]s & suppli]s p>ticipat+ "u title 
,,xviii dur+ su* p]iod2  7#b7 ! plan    
%all apply any co/-%>+ responsibilities 
"u su* plan1 ) respect to su* select$   
drug1 by sub/itut+ an am\nt n m ?an !   
maximum fair price negotiat$ "u su* "p  
,e ( title ,,xi = su* drug 9 lieu ( !   
drug price ^u :i* ! co/-%>+ w\ld h      
o!rwise appli$1 & su* co/-%>+           
responsibilities ) respect to su*       
select$ drug may n exce$ su* maximum    
fair price2 &  7#c7 ! ,secret>y %all    
apply ! provisions ( su* "p ,e to su*   
plan & su* p>ticipants & b5efici>ies s  
enroll$ 9 su* plan4  7b7 ,notification  
reg>d+ nonp>ticipation 9 ,drug ,price   
,negotiation ,program ,a gr\p heal? plan

 %all publicly disclose 9 a mann] & 9   
accordance ) a process specifi$ by !    
,secret>y any election made "u section  
#aaig ( ! ,social ,security ,act by !   
plan to n p>ticipate 9 ! ,drug ,price   
,negotiation ,program "u "p ,e ( title  
,,xi ( su* ,act ) respect to a select$  
drug 7z def9$ 9 section #aaib7;c7 ( su* 
,act7 = :i* cov]age is provid$ "u su*   
plan be=e ! beg9n+ ( ! plan ye> = :i*   
su* election 0 made4  4  7,b7           
,application to retiree & c]ta9 small   
gr\p heal? plans ,section #ihca7;a77#b7 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by ins]t+ o!r ?an ) respect to    
section #ihbf1 be=e any gr\p heal? plan4
  7,c7 ,cl]ical am5dm5t ,! table (      
sections = sub*apt] ,b ( *apt] #ajj (   
su* ,code is am5d$ by add+ at ! end !   
foll[+ new item3  ,sec4 #ihbf4 ,drug    
,price ,negotiation ,program &          
application ( maximum fair prices4  4   
#c4 ,application ( prescription drug    
inflation rebates to drugs furni%$ 9 !  
comm]cial m>ket  7a7 ,"p ,b drugs  7#a7 

,application ( prescription drug        
inflation rebates to drugs furni%$ 9 !  
comm]cial m>ket ,section #ahdg;,a7i7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#c;a7i77 is am5d$-- 7,a7 9       
p>agraph 7#a77;,a77i71 by /rik+ units & 
ins]t+ bill+ units2  7,b7 9 p>agraph    
7#b77;,a71 by /rik+ = :i* paym5t is made
 "u ?is "p & ins]t+ t w\ld be payable "u
 ?is "p if su* drug 7 furni%$ to an     
individual enroll$ "u ?is "p2 &  7,c7 9 
p>agraph 7#c7-- 7i7 9 subp>agraph       
7,a77i71 by /rik+ units & ins]t+ bill+  
units2 &  7ii7 by /rik+ subp>agraph 7,b7
 & ins]t+ ! foll[+3  7,b7 ,total numb] (
 bill+ units ,= purposes ( subp>agraph  
7,a77i71 ! total numb] ( bill+ units )  
respect to a "p ,b rebatable drug is    
det]m9$ z foll[s3 7i7 ,det]m9e ! total  
numb] ( units equal to-- 7,i7 ! total   
numb] ( units1 z report$ "u subsection  
7c77#a77;,b7 = ea* ,national ,drug ,code
 ( su* drug dur+ ! cal5d> qu>t] t is two
 cal5d> qu>t]s prior to ! cal5d> qu>t] z
 describ$ 9 subp>agraph 7,a71 m9us      

7,,ii7 ! total numb] ( units ) respect  
to ea* ,national ,drug ,code ( su* drug 
= :i* paym5t 0 made "u a ,/ate plan "u  
title ,,xix 7or waiv] ( su* plan71 z    
report$ by ,/ates "u section            
#aibg7;b77#b77;,a7 = ! rebate p]iod t is
 ! same cal5d> qu>t] z describ$ 9       
subclause 7,i74  7ii7 ,conv]t ! units   
det]m9$ "u clause 7i7 to bill+ units = !
 bill+ & paym5t code ( su* drug1 us+ a  
me?odology simil> to ! me?odology us$ "u
 ?is section1 by divid+ ! units det]m9$ 
"u clause 7i7 = ea* ,national ,drug     
,code ( su* drug by ! bill+ unit = !    
bill+ & paym5t code ( su* drug4  7iii7  
,compute ! sum ( ! bill+ units = ea*    
,national ,drug ,code ( su* drug 9      
clause 7ii74  4  7#b7 ,effective date ,!
 am5dm5ts made by ?is subsection %all   
apply ) respect to cal5d> qu>t]s beg9n+ 
aft] ! date ( ! enactm5t ( ?is ,act4    
7b7 ,cov]$ "p ,d drugs  7#a7            
,application ( prescription drug        
inflation rebates to drugs furni%$ 9 !  
comm]cial m>ket ,section #ahfj;,d-#ad;,b

 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciew-#aad;b7 is am5d$-- 7,a7
 9 subsection 7b7-- 7i7 9 p>agraph      
7#a7-- 7,i7 9 subp>agraph 7,a77i71 by   
/rik+ ! total numb] ( units & all t     
foll[s ?r\gh ! semicolon & ins]t+ !     
foll[+3 ! total numb] ( units t are us$ 
to calculate ! av]age manufactur] price 
( su* dosage =m & /r5g? ) respect to su*
 "p ,d rebatable drug1 z report$ by !   
manufactur] ( su* drug "u section #aibg 
= ea* mon?1 ) respect to su* p]iod22 &  
7,,ii7 by /rik+ subp>agraph 7,b7 &      
ins]t+ ! foll[+3  7,b7 ,exclud$ units ,=
 purposes ( subp>agraph 7,a77i71 !      
,secret>y %all exclude f ! total numb] (
 units = a dosage =m & /r5g? ) respect  
to a "p ,d rebatable drug1 ) respect to 
an applicable p]iod1 ! foll[+3 7i7      
,units ( ea* dosage =m & /r5g? ( su* "p 
,d rebatable drug = :i* paym5t 0 made "u
 a ,/ate plan "u title ,,xix 7or waiv] (
 su* plan71 z report$ by ,/ates "u      
section #aibg7;b77#b77;,a74  7ii7 ,units
 ( ea* dosage =m & /r5g? ( su* "p ,d    

rebatable drug = :i* a rebate is paid "u
 section #ahdg;,a7i74  7iii7 ,beg9n+ )  
plan ye> #bjbf1 units ( ea* dosage =m & 
/r5g? ( su* "p ,d rebatable drug = :i* !
 manufactur] provides a disc\nt "u !    
program "u section #cdj;,b ( ! ,public  
,heal? ,s]vice ,act4  2 &  7ii7 9       
p>agraph 7#f71 by /rik+ in=mation4--,!  
,secret>y & all t foll[s ?r\gh rebatable
 cov]$ "p ,d drug disp5s$ & ins]t+ !    
foll[+3 ,,amp reports4--,! ,secret>y    
%all provide = a me?od & process "u :i*1
 9 ! case ( a manufactur] ( a "p ,d     
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