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of this proposed rule proposes to revise 423.160(a)(5) to specify that prescriptions written for a beneficiary in a long-term care (LTC) facility would not be included in determining CMS EPCS Program compliance until January 1, 2028, and that compliance actions against prescribers who do not meet the compliance threshold based on prescriptions written for a beneficiary in a LTC facility would commence on or after January 1, 2028

A closer look at bleeding: Heavy bleeding and strong cramps usually start about 4-6 hours after taking the second medicine, misoprostol, but can take up to 24 hours