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This is often the case with synthetic (e.g., racetams) and semi-synthetic (e.g., vinpocetine) nootropics

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We also stated that if this proposal is not finalized, hospitals and ASCs that do not report their CY 2024 reporting data for the COVID-19 Vaccination Coverage Among HCP measure to CMS would be considered noncompliant with the measure for their CY 2026 payment determination and would receive a letter of noncompliance