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Section 1886(b)(3)(B)(xi)(II) of the ( Act defines the productivity adjustment to be equal to the 10-year moving average of changes in annual economy-wide private nonfarm business multifactor productivity (as projected by the Secretary for the 10-year period, ending with the applicable fiscal year, year, cost reporting period, or other annual period)

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Both amlodipine and lisinopril can be used in patients with mild to moderate kidney disease, but you will need monitoring and possible dose adjustments

Author contributions JJ and XM provided direction and guidance throughout the preparation of this article

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