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The rulings are a setback for manufacturers, distributors and pharmacies, which sought to toss the claims ahead of trial.

The CMS had originally said that insurers could exclude drug rebate coupons from counting towards out-of-pocket limits.

It might help you take on more clients with less stress.

The plan is still being formulated and details -- including how it would be financed -- haven't been addressed.

Insurers say the shift would undermine their confidence in program managers' willingness to comply with the law.

Career staffer widely recognized as stewarding fiduciary rule will now oversee enforcement