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Only one subject (0.6%) did not fall asleep after receiving both drugs

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(a) Scoring for Topped-Out Measures With Limited Measure Choice (i) Background on Scoring Topped-Out Measures We refer readers to the CY 2017, CY 2018, and CY 2019 Quality Payment Program final rules, the CY 2023 and 2025 PFS final rules (81 FR 77282 through 77287, 82 FR 53721 through 53727, 83 FR 59761 through 59765, 88 FR 70090 and 70091, and 89 FR 98429 through 98435), and § 414.1380(b)(1)(iv) for established topped out measure scoring policies