Letter to U.S. Court of Appeals for the D.C. Circuit providing MAC notices as exhibits re: 340B appeals

Re: American Hospital Association v. Alex M. Azar II, No. 18-5004 (argued May 4, 2018 before Circuit Judges Srinivasan, Millet and Katsas)

June 14, 2018 - Appellants provide two recent notices issue by Medicare Administrative Contractors (MACs). The notices confirm that the rulemaking process was Appellants' only administrative opportunity to present their challenge to the rule at issue in this case and that Appellants will not be afforded any administrative remedy to exhaust.

Read the full letter and exhibits below.

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