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We also finalized that, for a drug or biological product eligible for NCTAP that is also approved for new technology add-on payments, we will reduce the NCTAP for an eligible case by the amount of any new technology add-on payments so that we do not create a financial disincentive between technologies eligible for both the new technology add-on payment and NCTAP compared to technologies eligible for NCTAP only (86 FR 45162)

FDA briefing documents released before the meeting proposed the same conclusion for all seven peptides: do not add them

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Cutler DA, Pride SM, Cheung AP