The undersigned organizations, on behalf of tens of millions of Americans with serious illnesses, chronic conditions, and disabilities, are submitting this formal comment pertaining to your recent Notice of Proposed Rule Making. While we appreciate the Centers for Medicare and Medicaid Services (CMS) prioritizing efforts towards expanding access to care and lowering prescription drug costs, we are concerned that the proposed rule contains a provision that will increase barriers to access of care and put those individuals struggling with chronic and debilitating disease at risk for further health complications. 

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