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However, the skin barrier results in poor transdermal permeability of drugs, making it difficult for them to penetrate deep into tissues to exert therapeutic effects

Following our review of the Citrus decision (which we did not appeal) and the comments we received on the FY 2023 IPPS/LTCH PPS proposed rule, in the FY 2023 IPPS/LTCH PPS final rule (87 FR 49002 through 49004), we finalized a policy that calculates the rural floor as it was calculated before FY 2020

If you push yourself to that next level, that's what makes all the difference."

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