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The current reimbursement formula is known as "ASP+6" since it reimburses physicians at 106% of the ASP of drugs. Pharmaceutical company discounts and rebates are included in the calculation of ASP, and tend to reduce it. In addition, Medicare pays 80% of ASP+6, which is the equivalent of 84.8% of the actual average cost of the drug.
The 32-bit/64-bit era is most noted for the rise of fully 3D polygon games. While there were games prior that had used three-dimensional polygon environments, such as Virtua Racing and Virtua Fighter in the arcades and Star Fox on the Super NES, it was in this era that many game designers began to move traditionally 2D and pseudo-3D genres into 3D on video game consoles.
The rate of soil erosion is 10–20 times higher than the rate of soil accumulation in agricultural areas that use no-till farming. In areas with tilling it is 100 times higher. Climate change worsens this type of land degradation and desertification. [11]: 5 Climate change is projected to negatively affect all four pillars of food security.
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