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This is distinct from lyophilised peptides, which are stable at 20C because they exist in a dehydrated crystalline state where ice cannot form

For these MVP Participants, we calculated both an MVP and a traditional MIPS score and took the highest score consistent with the existing scoring hierarchy which was finalized in the CY 2023 PFS final rule (86 FR 65537)

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Why This Matters More Than the February Reclassification The February announcement moved peptides from Category 2 back to Category 1, which signaled intent