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Phase 4: Reactivation of the Na+K+ ATPase, or sodium-potassium pump, re-establishes the cardiac myocytes resting membrane potential (4)(35)

As stated above, CMS will not start the shortage reduction clock during a quarter subject to a severe supply chain disruption reduction as set forth in 427.401(b)(2)(iv), but intends to continue the shortage reduction clock once it starts for as long as a drug is currently in shortage, regardless of whether a severe supply chain disruption follows or precedes a shortage