You can ask us to pay you back for our share of the cost. Its easy to find providers who accept yourWellCare MedicareAdvantage orstand-alone WellCare MedicarePart D Prescription Drug Plan using this. Complete this printable form to ask us for a decision about a prescription drug and your specific plan coverage. These forward-looking statements reflect our current views with respect to future events and are based on numerous assumptions and assessments made by us in light of our experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors we believe appropriate. Fill out and submit this form to request prior authorization (PA) for your Medicare prescriptions. Stand-alone Medicare prescription drug plans from Wellcare are available in all 50 states and Washington, D.C. Wellcare Medicare Part D premiums and deductibles, Here are the 2023 premiums and deductibles for Wellcares stand-alone Medicare prescription drug plans. For specific information about drug coverage, please refer to yourEvidence of Coverageor Contact Us. "Wellcare by Health Net" is issued by Health Net Life Insurance Company. 1Benefits mentioned may be a part of Special Supplemental Benefits for the Chronically Ill. Not all members will qualify. A.M. Best sets credit ratings for insurers. Accessed Oct 14, 2022.View all sources: Medication adherence for diabetes medications, (a higher star rating means fewer members choose to leave), Call center foreign language interpreter and TTY availability, (a higher star rating means fewer complaints), Medication Therapy Management program completion rate for comprehensive medication review. The drugs included in tiers and what youll pay for each tier depend on your choice of prescription drug plan and what kind of pharmacy you use. Members can call 1-866-808-7471 to sign up for this convenient service. WellCare was founded in 1985 and acquired by Centene Corporation in January 2020. All of Wellcares Part D plans have $0 copays for Tier 1 generic drugs from preferred pharmacies, but cost-sharing requirements on higher tiers can quickly get more expensive. WellCare offers managed healthcare services primarily through Medicaid, Medicare Advantage, Medicare Prescription Drug Plans and individuals in the health insurance marketplace. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Understand Wellcares rules about how you get your prescription drugs. Wellcares Part D plans are relatively inexpensive, but their ratings arent great. OK92033) Property & Casualty Licenses, NerdWallet | 55 Hawthorne St. - 11th Floor, San Francisco, CA 94105. This policy provides a list of drugs that require step therapy. Wellcare uses cookies. T All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. Without limiting the foregoing, forward-looking statements often use words such as "believe," "anticipate," "plan," "expect," "estimate," "intend," "seek," "target," "goal," "may," "will," "would," "could," "should," "can," "continue" and other similar words or expressions (and the negative thereof). Accessed Oct 14, 2022.View all sources. Copays are set dollar amounts, so its easy to see what youll pay. What is step therapy and how does it work? Read more to learn about our Compliance Program. And while our site doesnt feature every company or financial product available on the market, were proud that the guidance we offer, the information we provide and the tools we create are objective, independent, straightforward and free. The Better Business Bureau (BBB) rates Centene, WellCares parent company. Understanding that these patients have a critical need for their medications, Exactus offers injectable, oral and infused specialty medications and has a staff of skilled pharmacists on hand 24/7. 2023 PDP Landscape Source File (v 09 06 2022): State; Organization Name; Plan Name. Trientine (Syprine) is a chelating agent. Provider may also contract with other Plan Sponsors. This list of important factors is not intended to be exhaustive. For comparison, the highest score was 75 and the health insurance industry average was 73. Wellcare Medicare Part D Plans Reviews and Ratings, National Committee for Quality Insurance (NCQA), NCQA Health Insurance Plan Ratings 2019-2020 Summary Report. Walgreens will continue to be a part of preferred pharmacy networks with three national Medicare Part D plan sponsors: Humana; UnitedHealthcare; WellCare; Walgreens is in the networks of hundreds of other Medicare prescription drug plans for 2015, in addition to participating in these preferred pharmacy networks. When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare ID card. The directory includes a number of well-known, nationwide pharmacies that offer preferred cost-sharing including Rite Aid, CVS, Walmart and Walgreens. Mail order: CenterWell Pharmacy is the preferred cost-share pharmacies for the Humana Walmart Value Rx Plan, Humana Premier Rx Plan and Humana Basic Rx plan. Our partners cannot pay us to guarantee favorable reviews of their products or services. She currently leads the Medicare team. However, we know there may be times when you can't use a network pharmacy. This request can also be made via phone, at 1-866-800-6111. Here are the 2023 premiums and deductibles for Wellcares stand-alone Medicare prescription drug plans[0]Centers for Medicare & Medicaid Services. You may also call CVS Caremark Member Services at 1-866-808-7471 (TTY: 711) 24 hours a day, 7 days a week. WellCare will offer the same six plans in 2021 that it offered in 2020. Discounts for preferred retail pharmacies (CVS and Caremark) and three-month prescriptions. Accessed Oct 14, 2022.View all sources. SSM information can be found in the plan's Evidence of Coverage. May include some brand-name drugs. Read that document carefully. Blackwell contributes to the University of Colorado-Anschutz blog and has been published in The Human Touch distributed by the University of Colorado Center for Bioethics and Humanities. According to federal regulations, preferred pharmacies in Part D must offer "covered Part D drugs at negotiated prices to Part D enrollees at lower levels of cost sharing than apply at a non-preferred pharmacy under its pharmacy network contract." . To find out which pharmacies near you are preferred, you can: Use the Find a Pharmacy tool. on Medicare.gov can help you find a Medicare Part D plan that covers your prescriptions. A registered nurse, Blackwell understands health insurance choices influence quality of life and are driven by values, goals, and beliefs. The company also offers whole health services, including specialty pharmacy, dental, vision and call-in nurse support. CVS Caremark Mail Service Pharmacy Express Scripts Pharmacy is the third largest pharmacy in the US and Cigna's preferred for home delivery. Previously, Holly wrote and edited content and developed digital media strategies as a public affairs officer for the U.S. Navy. Expanded Footprint and New Plan Offerings. When you fill your prescription, simply present your Wellcare Member ID card. WellCare - "Wellcare" is issued by WellCare Prescription Insurance, Inc. WellCare - We do not offer every plan available in your area. Shes passionate about engaging with, educating, and empowering seniors as they navigate the health care system. The following are factor VIII products requiring prior authorization: human Hemofil M, Koate-DVI; recombinant Advate, Adynovate, Afstyla, Eloctate, Esperoct, Helixate FS, Jivi, Kogenate FS, Kogenate FS with Vial Adapter, Kogenate FS with Bio-Set, Kovaltry, NovoEight, Nuwiq, Obizur, Recombinate, ReFacto, Xyntha, and Xyntha Solofuse. Read that document carefully. The Centers for Medicare & Medicaid Services rates Medicare Part D plans on 12 quality measures. What's prior authorization and how does it work? Request coverage or exception for a prescription drug. Premium: $11.10 Enroll Now This page features plan details for 2023 Wellcare Value Script (PDP) S4802 - 133 - 0. You may have to try drugs on a lower tier first before your plan approves higher-cost drugs. Call 1-855-589-2155 (TTY: 711) Compare plans online An easy-to-use plan comparison tool at the Medicare Support Center can help you find the right Medicare plan for you or a loved one. ACSI measures satisfaction with the health insurance industry as a whole Centenes score represents all of its health insurance products, not just Medicare Part D insurance. Compare Wellcares Prescription Drug Plans (PDPs) available in your area on Wellcares website. Mutual of Omaha Insurance Company takes the third spot on our list of the top 5 best Medicare Part D plans for 2023. Most self-injectable and infusion medications require prior authorization. Medicare information is everywhere. Wellcare Part D plans have low prices, but they fall behind on most quality measures from the Centers for Medicare & Medicaid Services. * Wellcare Value Script and Wellcare Medicare Rx Value Plus plans only. . Exactus Pharmacy Solutions offers advanced, around-the-clock care for patients who rely heavily on medication. You then will pay a small coinsurance percentage or copay amount for drugs you need until the end of the year. This information may be different than what you see when you visit a financial institution, service provider or specific products site. Wellcare uses cookies. Low prices. For this option, WellCare has partnered with CVS Caremark Mail Service Pharmacy. Wellcare is part of Centene Corp., which is the second-largest company offering Medicare Part D plans[0]Centers for Medicare & Medicaid Services. If you want to save money on prescriptions, go to a preferred pharmacy. Comprehensive Formulary. Ravulizuamb-cwvz (Ultomiris) is a complement inhibitor. "Wellcare" is issued by Wellcare of Washington, Inc. "Wellcare" is issued by WellCare Health Insurance Company of Washington, Inc. "Wellcare" is issued by WellCare Prescription Insurance, Inc. Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. After we receive your request, we will mail our decision (coverage determination) with a reimbursement check (if applicable) within 14 days. How Do I Talk To a Real Person at the Social Security Office? For more information about filling your prescriptions at network pharmacies, please refer to your Evidence of Coverage. In order to find a pharmacy that accepts your WellCare plan, visit the WellCare website and search its Pharmacy Directory. The Preferred Drug List contains information about drugs covered by the plan. The American Customer Satisfaction Index, or ACSI, rates consumer satisfaction with products and services based on a scientific model developed at the University of Michigan. The WellCare provider network may include primary care doctors, specialists, hospitals, pharmacies, labs, and other medical providers necessary for your care. The WellCare Specialty Pharmacy offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. Wellcare prescription drug plans use a five-tier or six-tier formulary[0]Wellcare. The Centers for Medicare and Medicaid Services (CMS) rate Wellcares Medicare Part D and Medicare Advantage plans. Read more. Shes equipped to lend an experienced, compassionate voice to beneficiaries seeking information about Medicare Advantage Plans. When you fill a prescription through this service, you may be able to gain access to preferred cost-sharing prices. . Heres how stand-alone Wellcare plans compared with national averages for each of the 12 Part D measures[0]Centers for Medicare & Medicaid Services. Please check back for updates, as PDLs are periodically amended. Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. CVS Health is one of the nation's largest pharmacy innovation companies with a mission to help its clients obtain better healthcare. Here is a list of our partners. We discuss certain of these matters more fully, as well as certain other factors that may affect our business operations, financial condition and results of operations, in our filings with the Securities and Exchange Commission (SEC), including our annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Due to these important factors and risks, we cannot give assurances with respect to our future performance, including without limitation our ability to maintain adequate premium levels or our ability to control our future medical and selling, general and administrative costs. Centene Corp. started as Family Hospital Physician Associates, a Medicaid plan created in 1984. Wellcare prescription drug plans use a five-tier or six-tier formulary, Average Part D star rating, weighted by enrollment: 3 stars, The Centers for Medicare & Medicaid Services rates Medicare Part D plans on 12 quality measures. Centenes business includes Medicare, Medicaid, health insurance marketplace plans, federal health insurance programs and health care programs for correctional institutions. Medicare prescription drug plans from Wellcare have advantages and disadvantages. The Wellcare Value Script and Medicare Rx Value Plus plans both have copays for Tier 6 diabetic drugs. You can find Centers for Medicare and Medicaid Services (CMS) quality rating information for each plan by searching Medicare.gov. 30 terms. If you find discrepancies with your credit score or information from your credit report, please contact TransUnion directly. Your insurer should send you a Notice of Plan Change when the formulary changes. Members should fax form to 1-866-388-1766. With close to 10,000 retail locations and over 1,000 walk-in clinics across the country . Youll need to know your plan name to use the tool, and you can search by city, state, zip code, or by provider type, including doctors, hospitals, and pharmacies. All financial products, shopping products and services are presented without warranty. Here are some things to keep in mind when comparing plans: Check the formulary: Youll want to make sure the medicines you currently take and, importantly, any you think you might need in the future, are covered under each of the plans youre considering. With an average monthly premium of $18.30, the Rx Essential policy has no deductible for medications in the first two tiers at preferred pharmacies. We offer plans from a number of insurance companies. Locations This is called step-wise therapy. Accredo Health Group:1-866-718-7952 Coinsurance is a percentage of the price for your medications, so coinsurance requirements can be more unpredictable and more expensive. Today, the company offers benefits with every Medicare beneficiary in mind, such as dental, hearing and vision services; Flex cards to assist with co-pays; transportation services; telehealth visits; wellness and fitness programs; in-home support services; and special supplemental benefits for the chronically ill. Wellcare is a wholly owned subsidiary of Centene Corporation, a leading healthcare enterprise committed to transforming the health of the community, one person at a time. You may also call CVS Caremark Member Services at 1-866-808-7471 (TTY: 711) 24 hours a day, 7 days a week. About 4.2 million Medicare beneficiaries have Wellcare Part D plans as of October 2022. In most states, your monthly premiums will be under $13 a month. She is based in Virginia Beach, Virginia. These six plans account for a further 181 regional PDPs. Depending on your plan, you may need to get your prescription medications from WellCare network pharmacies. However, we know there may be times when you can't use a network pharmacy. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Compare these 2022 WellCare Medicare Part D Plans in Cook County, Illinois: *Based on pricing in Cook County, Illinois. While WellCare has over 68,000 pharmacies in its network, it also offers a convenient mail-order option for patients who prefer having medications delivered right to their door. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-444-9088 (TTY 711) for Wellcare No Premium (HMO) and Wellcare Giveback (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-833-542-0693 (TTY 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare No Premium Open (PPO) in NE or consult the online pharmacy directory at www.wellcare.com/NE. The WellCare Classic plan includes a moderate monthly premium, but you still pay an annual deductible before your plan starts paying. You can also call the number on the back of your Member ID card. Please select your plan type Need help? Learn more about coverage determinations and exceptions on the Centers for Medicare & Medicaid Services website. Wellcare underperformed on quality measures related to online pricing accuracy, the call center and member complaints. Our network includes major chains, independent retail pharmacies, mail order service pharmacies, long-term care, home infusion and Indian Health Service/Tribal/Urban Indian Health Program pharmacies. Pharmacy Select 2021 WellCare plans will participate in the Senior Savings Model (SSM) capping insulin medication costs at $35 per 30-day supply throughout the plan year. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Accessed Oct 14, 2022.View all sources. Exactus pharmacy services are available to patients experiencing long-term, life-threatening or rare conditions at no additional cost. Wellcare Medicare Plans | Walgreens Extra 15% off $40+ vitamins Weekly Ad Up to 50% off clearance Menu Find a Store Prescriptions Back Prescriptions Refills Order Status WellCare has a formulary (list of drugs) and separates drugs into tiers that correspond to costs. Alex Rosenberg is a NerdWallet writer focusing on Medicare and information technology. Your ZIP Code allows us to filter for Medicare plans in your area. For certain kinds of prescription drugs, you can use our preferred mail order service CVS Caremark. NCQA rating: 2.5 to 3.5 stars. Quick WellCare Medicare Prescription Drug Plans review: WellCare offers Medicare Part D prescription drug coverage through standalone Part D plans and Medicare Advantage Plans. This low-cost policy is a good choice for those on Tier I & II prescriptions. He has more than 10 years of experience researching and writing about health care, insurance, technology, data privacy and public policy. Beginning Jan. 1, 2022, Centene's Medicare brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health Plan, and TexanPlus transitioned to the Wellcare brand. Because eHealths Medicare related content is compliant with CMS regulations, you can rest assured youre getting accurate information so you can make the right decisions for your coverage. Learn more about providers who participate in Louisiana Medicaid by visiting https://www.myplan.healthy.la.gov/myaccount/choose/find-provider. Find Wellcare Medicare plans to help you save on prescription drugs and get the most out of your Medicare coverage. For Louisiana D-SNP members: As a WellCare HMO D-SNP member, you have coverage from both Medicare and Medicaid. Individuals attempting unauthorized access will be prosecuted. Wellcares Medicare Part D Plans have an overall average quality rating of 4 stars from the Centers for Medicare & Medicaid Services (CMS). The 2023 average for all stand-alone Medicare Part D plans from all providers, weighted by enrollment, was 3.25 stars[0]Centers for Medicare & Medicaid Services. True. Our D-SNP plans have a contract with the state Medicaid program. When possible, take along all the drugs you will need. Premiums for the Wellcare Classic and Wellcare Medicare Rx Value Plus plans have both risen by a couple of dollars per month, on average. How Is the (You can find definitions for each of these factors in the CMS Star Ratings Technical Notes.). You can enter your medications and pharmacy information on Wellcares website to see which drugs are covered and review your estimated costs with different plan options. With its knowledge of the insurance process and plan benefits, the team can speedily help the patient receive his or her medication. Does WellCare have good Medicare prescription drug plans? Many or all of the products featured here are from our partners who compensate us. WellCare will offer only three plans in 2022: Wellcare Classic; Wellcare Value Script; and . Wellcares Part D plans include: WellCare offers three different Part D Plan options, including a value plan with lower monthly premiums, a medium range plan, and a value plus plan. Learn how to fill your prescriptions through Wellcare's preferred Medicare Supplements Explained Understand Plan F vs. Plan G vs. Plan N. Is Medicare Supplement Plan F Going Away? Wellcare offers the following stand-alone Medicare Part D prescription drug plans for 2023[0]Wellcare. Wellcare Value Script (PDP) is a Medicare Part D Prescription Drug Plan by Wellcare. WellCare Medicare Part D plans are regulated by CMS and must cover a wide range of prescription drugs that people with Medicare take. We're here for you. Accessed Oct 14, 2022.View all sources: If you have concerns about affording Medicare Part D, look into Medicare Extra Help. Prior authorization requirements may be added to additional drugs in the future. Accessed Oct 14, 2022.View all sources: Wellcare Value Script: Wellcare describes this plan as having a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy., Wellcare Classic: Wellcare describes this plan as best suited to those who take only a few medications and seek a low monthly premium., Wellcare Medicare Rx Value Plus: Wellcare describes this plan as best suited to those who take several medications regularly and desire low copays and no deductibles.. Call the Customer Service number on the back of your Blue Cross Blue Shield of Michigan ID card and we'll help. If you have additional questions about Medicare, visit. Lead Writer | Medicare, health care, legislation. +974 4462 0901. [email protected]. Important Information About Medicare Plans. If you have a WellCare Preferred Provider Organization (PPO) or Health Maintenance Organization (HMO) Medicare Advantage Plan, your plan should include drug coverage. Golodirsen (Vyondys 53TM) is an antisense oligonucleotide. (You can find definitions for each of these factors in the, Based on the most recent year of data, stand-alone Wellcare prescription drug plans get an average rating of 3 stars, weighted by enrollment. Store your doctor & Rx drug info in one, secure location. We may cover your drugs filled at an out-of-network pharmacy if: If you take a drug(s) on a regular basis and are planning to travel, be sure to check your supply of the drug(s) before you leave. Learn how to get the most out of your plan benefits. Its the only Wellcare plan for which the deductible depends on the formulary tier. Health Insurance. Sign in for a more personalized experience. If you travel within the United States and territories, we may cover your drug at an out-of-network pharmacy for the same reasons as noted above. If your medication isnt covered, you can fill out a Prescription Drug Coverage Request form found on the WellCare website. Wellcare offers the following stand-alone Medicare Part D prescription drug plans for 2023, Wellcare describes this plan as having a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy., Wellcare describes this plan as best suited to those who take only a few medications and seek a low monthly premium., Wellcare describes this plan as best suited to those who take several medications regularly and desire low copays and no deductibles.. If you do not have the original receipt, you can ask your pharmacy for a printout. Prescribers are encouraged to write prescriptions for preferred products. You must meet your annual deductible before your plan pays. In addition, network providers and pharmacies agree to accept yourcopayment or coinsurance amount as your payment in full for your Medicare covered services or prescription drugs, saving you moneyout-of-pocket. Patisiran (Onpattro) is a double-stranded small interfering ribonucleic acid, formulated as a lipid complex for delivery to hepatocytes. As of June 2019, WellCare served more than six million individuals nationwide. See ratings and learn what WellCare covers. In particular, these statements include, without limitation, statements about our future operating or financial performance, market opportunity, value creation strategy, competition, expected activities in connection with completed and future acquisitions and dispositions, including statements about the impact of our recently completed acquisition of Magellan Health, Inc. (the Magellan Acquisition), other recent and future acquisitions and dispositions, our investments and the adequacy of our available cash resources. Pre-qualified offers are not binding. Changes go into effect on the following Jan. 1. is a list of the prescription drugs covered by an insurance plan. Many of these plans are state-level Blue Cross Blue Shield plans. He is based in Stoughton, Wisconsin. You will be responsible for any necessary out-of-pocket expense according to your Part D benefit. However, this does not influence our evaluations. When typing in this field, a list of search results will appear and be automatically updated as you type. , Oct. 15 to Dec. 7. Having your prescriptions sent to your home is easy and may cost less than getting them from a retail pharmacy. Most plans purchased during AEP are effective January 1, 2023. Wellcare's pharmacy network includes limited lower-cost preferred pharmacies in rural areas of MO and NE. MORE: Read our review of Wellcare Medicare Advantage, Compare Medicare Part D prescription drug plan companies, Average stand-alone Medicare Part D star rating, weighted by enrollment (2023). Changes go into effect on the following Jan. 1. Non-preferred generic drugs. 322166814/www.reference.com/Reference_Desktop_Feed_Center6_728x90, The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture. Most Medicare Part D plans negotiate with a network of pharmacies for the lowest cost. With other plans, such asWellCare MedicareAdvantage Preferred Provider Organization (PPO)* plans, you may pay higher out-of-pocket costs if you get care from someone not in the plans preferred provider network, and in that case: WellCare contracts with certain providers to offer you special rates for your care, usually lower than what they would charge you if you were not enrolled in aWellCareMedicarehealth plan. Low quality rating. True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. About 4.2 million Medicare beneficiaries have Wellcare Part D plans as of October 2022.. Wellcare Medicare Part D prescription drug plans, Third-party ratings for Wellcare Medicare Part D plans, Wellcare is part of Centene Corp., which is the second-largest company offering Medicare Part D plans. . (All specialty pharmacies:TTY 711). The coverage determination process enables providers to request an addition or exception. Stand-alone Medicare Part D plans from Wellcare outperformed the national average on three Part D measures, tied the average for one measure and fell behind the national average on eight measures[0]Centers for Medicare & Medicaid Services. If your plan does change, and the change affects the prescription drugs you need, you can switch plans during. Youll want to check whether youll pay a copay or coinsurance for your medications. Medicare 2023 Part C & D Star Ratings Technical Notes: Table C-2: National Averages for Part D Measures. "Preferred" pharmacies are included in many Medicare plans providing Medicare Part D prescription drug coverage. The benefits of this service include cost savings, convenience and automatic refills and reminders. Wellcare by Allwell (HMO and HMO SNP) includes products that are underwritten by Superior HealthPlan, Inc. and Superior HealthPlan Community Solutions, Inc. Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc.
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