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We noted that no evidence was provided comparing the Axoguard HA+ Nerve Protector TM to other currently available treatments for the indicated condition including autologous flaps/fat pads and xenografts or off-the-shelf wraps that include materials sourced from human amniotic membrane, bovine, porcine, and plants

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Another 15 percent of DSNP enrollment is in Puerto Rico (CMS, 2017a), but the Commonwealth's MA plans, including DSNPs, operate under modified payment rules that potentially make these products more attractive for insurers to offer

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