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We note however, that section 1847(a)(3) of the Act provides discretionary authority to exempt certain areas and items from the DMEPOS competitive bidding program, including rural areas and areas with low population density within urban areas that are not competitive, unless there is a significant national market through mail order for a particular item or service, and items and services for which the application of competitive acquisition is not likely to result in significant savings

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After six months on daily Ocufolin, the patient had further reduction in swelling of both legs and was able to go without compression stockings for a full day of moderate activity