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After consideration of public comments, discussed in an earlier section of this final rule with comment period, we are finalizing with modification our proposals to replace the estimated allowed amount with the median allowed amount and to add the 10th and 90th percentile allowed amounts, including our proposed methodology for calculating the allowed amounts should the calculated percentile fall between two observed allowed amounts, effective January 1, 2026

Visual Field Degradation Characteristics: Rather than triggering absolute darkness or total blindness, the condition typically presents as sudden blurring, dimming, or a localized loss of a specific part of the visual field (altitudinal defects) in one eye

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