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Column 6 contains simulated outlier payments for each year

Women's TRT at TRIA uses low-dose EvexiPEL pellets dosed precisely from bloodwork to restore physiologic levels without masculinizing effects

Several commenters, including many associations, urged CMS to use its special exceptions and adjustments authority under section 1886(d)(5)(I)(i) of the Act to implement a retrospective one-time adjustment for CY 2026 to account for the underestimation of the market basket updates over the last several years