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8/14/2025 1:58 PM 86786 11.1.21-Non-Formulary-Quantity-Limit.pdf
8/14/2025 1:58 PM 179980 2017_INTEGRITY_Enrollee-Appeal-Request-Webform_update.pdf
8/14/2025 1:58 PM 1348607 2021-English-LOCD.pdf
8/14/2025 1:58 PM 1348607 2021-English-LOCD_10.14.21.pdf
8/14/2025 1:58 PM 1433148 2021-English-LOCD_11.1.21.pdf
8/14/2025 1:58 PM 9987897 2021-Khmer-LOCD_11.1.21.pdf
8/14/2025 1:58 PM 104557 2021-OurOfferings.pdf
8/14/2025 1:58 PM 1363325 2021-Portuguese-LOCD.pdf
8/14/2025 1:58 PM 1447132 2021-Portuguese-LOCD_11.1.21.pdf
8/14/2025 1:58 PM 1367676 2021-Spanish-LOCD.pdf
8/14/2025 1:58 PM 1460945 2021-Spanish-LOCD_11.1.21.pdf
8/14/2025 1:58 PM 43681009 2021_Medicare_English_UnTagged_10_15_2021_0335.pdf
8/14/2025 1:58 PM 88102486 2021_Medicare_Khmer_UnTagged_10_15_2021_0335.pdf
8/14/2025 1:58 PM 46316763 2021_Medicare_Portuguese_UnTagged_10_15_2021_0335.pdf
8/14/2025 1:58 PM 46913930 2021_Medicare_Spanish_UnTagged_10_15_2021_0335.pdf
8/14/2025 1:58 PM 88102486 2021_Test_Medicare_Khmer_UnTagged_10_15_2021_0335.pdf
8/14/2025 1:58 PM 2242961 2022-COC-Neighborhood-PREMIER_HSRI.pdf
8/14/2025 1:58 PM 2252135 2022-COC-Neighborhood-PRIME-Elite_HSRI.docx.pdf
8/14/2025 1:58 PM 2237727 2022-COC-Neighborhood-PRIME_HSRI.pdf
8/14/2025 1:58 PM 2249704 2022-COC-Neighborhood-STANDARD_HSRI.pdf
8/14/2025 1:58 PM 223250 2022-Commercial-Formulary-Foreword-1.pdf
8/14/2025 1:58 PM 223143 2022-Commercial-Formulary-Foreword-2.pdf
8/14/2025 1:58 PM 223250 2022-Commercial-Formulary-Foreword.1-1.pdf
8/14/2025 1:58 PM 223149 2022-Commercial-Formulary-Foreword.pdf
8/14/2025 1:58 PM 3354610 2022-Commercial-Formulary.pdf
8/14/2025 1:58 PM 2413416 2022-LOCD-English-1.pdf
8/14/2025 1:58 PM 2413416 2022-LOCD-English.pdf
8/14/2025 1:58 PM 2508250 2022-LOCD-English.update.pdf
8/14/2025 1:58 PM 9839891 2022-LOCD-Khmer.update.pdf
8/14/2025 1:58 PM 2433597 2022-LOCD-Portuguese.pdf
8/14/2025 1:58 PM 2532666 2022-LOCD-Portuguese.update.pdf
8/14/2025 1:58 PM 2437010 2022-LOCD-Spanish.pdf
8/14/2025 1:58 PM 2540539 2022-LOCD-Spanish.update.pdf
8/14/2025 1:58 PM 41650019 2022_Medicare_English_UnTagged_10_15_2022_1100.pdf
8/14/2025 1:58 PM 43933688 2022_Medicare_English_UnTagged_10_15_2022_1700.pdf
8/14/2025 1:58 PM 56975360 2022_Medicare_Khmer_UnTagged_10_15_2022_1100.pdf
8/14/2025 1:58 PM 89117074 2022_Medicare_Khmer_UnTagged_10_15_2022_1730.pdf
8/14/2025 1:58 PM 42304039 2022_Medicare_Portuguese_UnTagged_10_15_2022_1100.pdf
8/14/2025 1:58 PM 46617771 2022_Medicare_Portuguese_UnTagged_10_15_2022_1700.pdf
8/14/2025 1:58 PM 41696588 2022_Medicare_Spanish_UnTagged_10_15_2022_1100.pdf
8/14/2025 1:58 PM 45445551 2022_Medicare_Spanish_UnTagged_10_15_2022_1700.pdf
8/14/2025 1:58 PM 1337872 2022_MMP_CVS-RI_CY22_2T_MMP-CRIT_IND2-2022-PACriteria.pdf
8/14/2025 1:58 PM 49589 2022_MMP_CVS-RI_CY22_2T_MMP-CRIT_IND2-2022-STCriteria.pdf
8/14/2025 1:58 PM 655776 2022_Neighborhood-CHOICE-SHOP-Market-Silver-SBC.pdf
8/14/2025 1:58 PM 820885 2022_Neighborhood-CHOICE-SHOP-Market-Silver-SBC_SPA.pdf
8/14/2025 1:58 PM 590867 2022_Neighborhood-EDGE-SHOP-Market-GoldSBC.pdf
8/14/2025 1:58 PM 820896 2022_Neighborhood-EDGE-SHOP-Market-GoldSBC_SPA.pdf
8/14/2025 1:58 PM 592670 2022_Neighborhood-PREMIER-Elite-SHOP-Market-Gold-SBC.pdf
8/14/2025 1:58 PM 633307 2022_Neighborhood-PREMIER-Elite-SHOP-Market-Gold-SBC_SPA.pdf
8/14/2025 1:58 PM 591023 2022_Neighborhood-PREMIER-SHOP-Market-Gold-SBC.pdf
8/14/2025 1:58 PM 819906 2022_Neighborhood-PREMIER-SHOP-Market-Gold-SBC_SPA.pdf
8/14/2025 1:58 PM 633713 2022_Neighborhood-PRIME-Elite-SHOP-Market-Gold-SBC_SPA.pdf
8/14/2025 1:58 PM 655694 2022_Neighborhood-PRIME-Elite-SHOP-Market-Platinum-SBC.pdf
8/14/2025 1:58 PM 820111 2022_Neighborhood-PRIME-SHOP-Market-Gold-SBC_SPA.pdf
8/14/2025 1:58 PM 655199 2022_Neighborhood-PRIME-SHOP-Market-Platinum-SBC.pdf
8/14/2025 1:58 PM 654826 2022_Neighborhood-STANDARD-SHOP-Market-Bronze-SBC.pdf
8/14/2025 1:58 PM 819876 2022_Neighborhood-STANDARD-SHOP-Market-Bronze-SBC_SPA.pdf
8/14/2025 1:58 PM 114765 ADJ_54-Claim-Adjustment-Grid-Process-9.23.21.docx
8/14/2025 1:58 PM 376193 Adult-Day-Health-Eff.-9.29.2021-1.html
8/14/2025 1:58 PM 376193 Adult-Day-Health-Eff.-9.29.2021.html
8/14/2025 1:58 PM 632244 Adult-Day-Health-Payment-Policy-09.29.21-1.pdf
8/14/2025 1:58 PM 720836 ANOC_H9576_Approved_Print-Ready.pdf
8/14/2025 1:58 PM 1137204 ANOC_H9576_Approved_Print-Ready_Khmer.pdf
8/14/2025 1:58 PM 633514 ANOC_H9576_Approved_Print-Ready_Portuguese.pdf
8/14/2025 1:58 PM 474020 ANOC_H9576_Approved_Print-Ready_Spanish.pdf
8/14/2025 1:58 PM 63925 Appointment-of-Representative-form_CMS-1696-English.pdf
8/14/2025 1:58 PM 363077 Change-of-Ownership-Form.pdf
8/14/2025 1:58 PM 6010 Christina-Big-Hair-150x150.jpg
8/14/2025 1:58 PM 19710 Christina-Big-Hair-295x300.jpg
8/14/2025 1:58 PM 40416 Christina-Big-Hair-454x400.jpg
8/14/2025 1:58 PM 46319 Christina-Big-Hair.jpg
8/14/2025 1:58 PM 6360 Christina-Head-Shot-150x150.jpg
8/14/2025 1:58 PM 19177 Christina-Head-Shot-280x300.jpg
8/14/2025 1:58 PM 41228 Christina-Head-Shot-425x400.jpg
8/14/2025 1:58 PM 47462 Christina-Head-Shot.jpg
8/14/2025 1:58 PM 7392 Christina-Karaoke-150x150.jpg
8/14/2025 1:58 PM 13935 Christina-Karaoke-300x139.jpg
8/14/2025 1:58 PM 36541 Christina-Karaoke-500x328.jpg
8/14/2025 1:58 PM 53662 Christina-Karaoke.jpg
8/14/2025 1:58 PM 8003 Christina-Tommy-AND-Christina-and-April-150x150.jpg
8/14/2025 1:58 PM 17723 Christina-Tommy-AND-Christina-and-April-300x188.jpg
8/14/2025 1:58 PM 42722 Christina-Tommy-AND-Christina-and-April-500x316.jpg
8/14/2025 1:58 PM 44065 Christina-Tommy-AND-Christina-and-April.jpg
8/14/2025 1:58 PM 6797 Christinas-Grandfather-150x150.jpg
8/14/2025 1:58 PM 15517 Christinas-Grandfather-215x300.jpg
8/14/2025 1:58 PM 26114 Christinas-Grandfather-329x400.jpg
8/14/2025 1:58 PM 30959 Christinas-Grandfather.jpg
8/14/2025 1:58 PM 8439 Christinas-Kids-1-150x150.jpg
8/14/2025 1:58 PM 12003 Christinas-Kids-1-300x99.jpg
8/14/2025 1:58 PM 41614 Christinas-Kids-1-500x277.jpg
8/14/2025 1:58 PM 51722 Christinas-Kids-1-768x254.jpg
8/14/2025 1:58 PM 68017 Christinas-Kids-1.jpg
8/14/2025 1:58 PM 8439 Christinas-Kids-150x150.jpg
8/14/2025 1:58 PM 12003 Christinas-Kids-300x99.jpg
8/14/2025 1:58 PM 41614 Christinas-Kids-500x277.jpg
8/14/2025 1:58 PM 51722 Christinas-Kids-768x254.jpg
8/14/2025 1:58 PM 68017 Christinas-Kids.jpg
8/14/2025 1:58 PM 8266 Christinas-Work-Family-150x150.jpg
8/14/2025 1:58 PM 21902 Christinas-Work-Family-300x265.jpg
8/14/2025 1:58 PM 47358 Christinas-Work-Family-500x400.jpg
8/14/2025 1:58 PM 104814 Christinas-Work-Family-768x679.jpg
8/14/2025 1:58 PM 129192 Christinas-Work-Family.jpg
8/14/2025 1:58 PM 246910 CM_Long-acting-CSF_-Non-Onc_20210722.pdf
8/14/2025 1:58 PM 576281 Complementary-and-Alternative-Medicine-CAM-Payment-Policy-09.29.21.pdf
8/14/2025 1:58 PM 101888 Copy-of-JCode-Listing-2Q2021-002.xls
8/14/2025 1:58 PM 590786 COVID-19-Vaccine-Payment-Policy-Eff-8.17.2021-through-Sept-26.2021.pdf
8/14/2025 1:58 PM 590509 COVID-19-Vaccine-Payment-Policy-Eff.-09.27.21.pdf
8/14/2025 1:58 PM 138753 Date_range_billing_ouptatient-Billing-Guidelines-09.01.11-through-09.30.21.pdf
8/14/2025 1:58 PM 298719 Dialysis-Services-10.03.13-through-09.30.21.pdf
8/14/2025 1:58 PM 244607 Digestive-Coverage-Summary-04.04.12-through-09.30.21.pdf
8/14/2025 1:58 PM 244638 Ear-Coverage-Summary-08.23.12-through-09.30.21.pdf
8/14/2025 1:58 PM 504972 EFP-Payment-Policy-09.28.20-through-9.28.21.pdf
8/14/2025 1:58 PM 113397 EFT-Enrollment-Letter.docx
8/14/2025 1:58 PM 39493 EFT-Payment-Enrollment-Form.docx.dotx
8/14/2025 1:58 PM 216990 EKG-Interpretation-and-Report-with-Surgeon-Billing-Guidelines-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 138172 Eligard-1966-A-SGM-P2021.pdf
8/14/2025 1:58 PM 780807 Exception-Form-10.28.21.pdf
8/14/2025 1:58 PM 307093 Exchange-NOC-January_2022.pdf
8/14/2025 1:58 PM 260682 Exchange-NOC-November_2021-1.pdf
8/14/2025 1:58 PM 260682 Exchange-NOC-November_2021.pdf
8/14/2025 1:58 PM 215630 Exploratory-Surgery-Billing-Guidelines-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 734361 Extended-Family-Planning-Payment-Policy-09.29.21.pdf
8/14/2025 1:58 PM 7710412 External-DME-Document09.21.21.pdf
8/14/2025 1:58 PM 215620 From-and-To-Dates-Date-Range-Billing-Guidelines-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 3605503 H9576_EOC2022_HPMS_Approved_English_Print-Ready_FINALv1.pdf
8/14/2025 1:58 PM 3605545 H9576_EOC2022_HPMS_Approved_English_Print-Ready_FINALv2-1.pdf
8/14/2025 1:58 PM 4617705 H9576_EOC2022_HPMS_Approved_Khmer_Print-Ready_FINAL.pdf
8/14/2025 1:58 PM 3439093 H9576_EOC2022_HPMS_Approved_Portuguese_Print-Ready_FINAL.pdf
8/14/2025 1:58 PM 3431096 H9576_EOC2022_HPMS_Approved_Portuguese_Print-Ready_FINALv2-1.pdf
8/14/2025 1:58 PM 2466182 H9576_EOC2022_HPMS_Approved_Print-Ready.pdf
8/14/2025 1:58 PM 3161977 H9576_EOC2022_HPMS_Approved_Print-Ready_Khmer.pdf
8/14/2025 1:58 PM 2348006 H9576_EOC2022_HPMS_Approved_Print-Ready_Portuguese.pdf
8/14/2025 1:58 PM 2384746 H9576_EOC2022_HPMS_Approved_Print-Ready_Spanish.pdf
8/14/2025 1:58 PM 3496548 H9576_EOC2022_HPMS_Approved_Spanish_Print-Ready_FINAL.pdf
8/14/2025 1:58 PM 169064 Hemic-Lymphatic-Coverage-Summary-10.03.13-through-09.30.21.pdf
8/14/2025 1:58 PM 637180 Immunization-and-Vaccine-Payment-Policy-05.25.21.pdf
8/14/2025 1:58 PM 107225 Implant-Coverage-Summary-10.3.13-through-09.30.21.pdf
8/14/2025 1:58 PM 528978 In-Lieu-of-Services-Payment-Policy-09.29.21.pdf
8/14/2025 1:58 PM 166138 Integumentary-and-Musculoskeletal-System-03.09.11-through-09.30.21.pdf
8/14/2025 1:58 PM 259289 January-2022-Formulary-Changes-1.pdf
8/14/2025 1:58 PM 259289 January-2022-Formulary-Changes.pdf
8/14/2025 1:58 PM 215288 Labor-Evaluation-Billing-Guidelines-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 111620 Laboratory-Coverage-Summary-07.25.11-through-09.30.21.pdf
8/14/2025 1:58 PM 285856 Lesion-Excision-Surgery-Billing-Guidelines-09.01.13-through-09.30.31.pdf
8/14/2025 1:58 PM 350739 List-of-DME-Supplies-at-Pharmacy-2022_ENG.pdf
8/14/2025 1:58 PM 349801 List-of-DME-Supplies-at-Pharmacy-2022_KHM.pdf
8/14/2025 1:58 PM 351320 List-of-DME-Supplies-at-Pharmacy-2022_POR.pdf
8/14/2025 1:58 PM 351854 List-of-DME-Supplies-at-Pharmacy-2022_SPA.pdf
8/14/2025 1:58 PM 164901 Male-Genital-and-Urinary-Coverage-Summary-07.08.10-through-09.30.21.pdf
8/14/2025 1:58 PM 167300 Mediastinum-and-Diaphragm-Coverage-Summary-10.03.13-through-09.30.21.pdf
8/14/2025 1:58 PM 373065 Medicaid-and-Commercial-ST.pdf
8/14/2025 1:58 PM 67725 Medicaid-NOC-November_2021.pdf
8/14/2025 1:58 PM 322609 Medicaid.Commercial-Step_Therapy_10.25.21.pdf
8/14/2025 1:58 PM 246899 Medicaid_Long-acting-CSF_-Non-Onc_20210729.pdf
8/14/2025 1:58 PM 512544 MMP-November-2021-Notice-of-Change.pdf
8/14/2025 1:58 PM 327620 MMP-Step_Therapy_10.25.21-1.pdf
8/14/2025 1:58 PM 327620 MMP-Step_Therapy_10.25.21.pdf
8/14/2025 1:58 PM 792560 MMP_NewBenefits_Mailer_508_10.8.21.pdf
8/14/2025 1:58 PM 546446 Multiple-Procedure-Payment-Policy-09.29.21.pdf
8/14/2025 1:58 PM 366348 Multiple-Procedure-Payment-Policy-11.01.20-to-09.28.21.pdf
8/14/2025 1:58 PM 153593 NCS-Update-10.15.2021-1.pdf
8/14/2025 1:58 PM 128670 Neighborhood-CHOICE-CMS-Creditable-Coverage-Disclosure-Notice-08-23-2021-Final.pdf
8/14/2025 1:58 PM 107166 Neighborhood-EDGE-CMS-Creditable-Coverage-Disclosure-Notice-08-23-2021-Final.pdf
8/14/2025 1:58 PM 102240 Neighborhood-PREMIER-CMS-Creditable-Coverage-Disclosure-Notice-08-23-2021-Final.pdf
8/14/2025 1:58 PM 106886 Neighborhood-PREMIER-Elite-CMS-Creditable-Coverage-Disclosure-Notice-08-23-2021-Final.pdf
8/14/2025 1:58 PM 106810 Neighborhood-PRIME-CMS-Creditable-Coverage-Disclosure-Notice-08-23-20201-Final.pdf
8/14/2025 1:58 PM 106856 Neighborhood-PRIME-Elite-CMS-Creditable-Coverage-Disclosure-Notice-08-23-2021-Final.pdf
8/14/2025 1:58 PM 228903 Nervous-System-Endocrine-System-10.03.13-through-09.30.21.pdf
8/14/2025 1:58 PM 2861 NHP-Fall2021Header-IndFam-V1-100x50.jpg
8/14/2025 1:58 PM 145921 NHP-Fall2021Header-IndFam-V1-1024x551.jpg
8/14/2025 1:58 PM 10641 NHP-Fall2021Header-IndFam-V1-150x150.jpg
8/14/2025 1:58 PM 21394 NHP-Fall2021Header-IndFam-V1-300x161.jpg
8/14/2025 1:58 PM 61892 NHP-Fall2021Header-IndFam-V1-500x400.jpg
8/14/2025 1:58 PM 92999 NHP-Fall2021Header-IndFam-V1-768x413.jpg
8/14/2025 1:58 PM 253626 NHP-Fall2021Header-IndFam-V1.jpg
8/14/2025 1:58 PM 2360 NHP-Fall2021Header-MMPBenefits-V1-100x50.jpg
8/14/2025 1:58 PM 115573 NHP-Fall2021Header-MMPBenefits-V1-1024x551.jpg
8/14/2025 1:58 PM 8153 NHP-Fall2021Header-MMPBenefits-V1-150x150.jpg
8/14/2025 1:58 PM 15791 NHP-Fall2021Header-MMPBenefits-V1-300x161.jpg
8/14/2025 1:58 PM 46761 NHP-Fall2021Header-MMPBenefits-V1-500x400.jpg
8/14/2025 1:58 PM 70172 NHP-Fall2021Header-MMPBenefits-V1-768x413.jpg
8/14/2025 1:58 PM 229276 NHP-Fall2021Header-MMPBenefits-V1.jpg
8/14/2025 1:58 PM 12063 NHP-FBillboard-10-20-21-1258x677-1-100x50.jpg
8/14/2025 1:58 PM 116522 NHP-FBillboard-10-20-21-1258x677-1-1024x551.jpg
8/14/2025 1:58 PM 17797 NHP-FBillboard-10-20-21-1258x677-1-150x150.jpg
8/14/2025 1:58 PM 25385 NHP-FBillboard-10-20-21-1258x677-1-300x161.jpg
8/14/2025 1:58 PM 57965 NHP-FBillboard-10-20-21-1258x677-1-500x400.jpg
8/14/2025 1:58 PM 76907 NHP-FBillboard-10-20-21-1258x677-1-768x413.jpg
8/14/2025 1:58 PM 205380 NHP-FBillboard-10-20-21-1258x677-1.jpg
8/14/2025 1:58 PM 3416047 NHP-INTG-SumBen-2022-ColorCover_ENG_FINAL.pdf
8/14/2025 1:58 PM 3892335 NHP-INTG-SumBen-2022-ColorCover_Khmer_FINALv1.pdf
8/14/2025 1:58 PM 3452612 NHP-INTG-SumBen-2022-ColorCover_Port_FINAL.pdf
8/14/2025 1:58 PM 3182223 NHP-INTG-SumBen-2022-ColorCover_Spn_FINAL.pdf
8/14/2025 1:58 PM 1315710 NHP-OE22-InFam-MarketingBooklet-ENG-508.pdf
8/14/2025 1:58 PM 1389467 NHP-OE22-SHOP_MarketingBooklet-508.pdf
8/14/2025 1:58 PM 941558 NHP-Provider-Flyer-Spanish.pdf
8/14/2025 1:58 PM 860053 NHP-Provider-Flyer-Spanish_FINAL.pdf
8/14/2025 1:58 PM 625070 NHP-Provider-Flyer-V4-1-FINAL.pdf
8/14/2025 1:58 PM 1624000 NHPRI-OE2022-IFPlanSummary-508web.pdf
8/14/2025 1:58 PM 2476250 NHPRI-OE2022-SHOP_PlanSum-508web.pdf
8/14/2025 1:58 PM 246443 NHPRI_2022_Transition_Policy-1-1.pdf
8/14/2025 1:58 PM 937778 Non-Covered-Services-Payment-Policy-10.15.21.pdf
8/14/2025 1:58 PM 151817 Pain-Coverage-Summary-10.03.13-through-09.30.21.pdf
8/14/2025 1:58 PM 249473 Patient-Education-Coverage-Summary-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 144670 Pegasys-2139-A-SGM-P2021.pdf
8/14/2025 1:58 PM 188449 Prolia-2026-A-SGM-P2020.pdf
8/14/2025 1:58 PM 189551 Provider-Notice_eForm-for-Multiple-Claim-Adjustments-FINAL-news-online.pdf
8/14/2025 1:58 PM 788509 QL-Exception-Form-10.28.21.pdf
8/14/2025 1:58 PM 103049 Radiology-Services-Coverage-Summary-04.06.11-through-09.30.21.pdf
8/14/2025 1:58 PM 704214 SA-Opioid-Form-10.28.21.pdf
8/14/2025 1:58 PM 465309 ST-Criteria-Form-10.28.21.pdf
8/14/2025 1:58 PM 8786 tabledenial-code-150x150.jpg
8/14/2025 1:58 PM 12575 tabledenial-code-300x111.jpg
8/14/2025 1:58 PM 41507 tabledenial-code-500x276.jpg
8/14/2025 1:58 PM 59033 tabledenial-code.jpg
8/14/2025 1:58 PM 512283 Temporary-COVID-19-Prior-Authorization-Policy-Eff-10.01.21.pdf
8/14/2025 1:58 PM 543095 Temporary-COVID-19-Prior-Authorization-Policy-Effective-08.25.21-through-9.30.21.pdf
8/14/2025 1:58 PM 367976 Temporary-COVID-19-Triage-Services-Provided-Via-Telephone-Only-Effective-3.9.20-to-3.18.20.pdf
8/14/2025 1:58 PM 357440 UB-04-General-Claim-Submission-10.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 212036 UM-ONC_1130-Alimta-pemetrexed_09242021.pdf
8/14/2025 1:58 PM 247399 UM-ONC_1263-Keytruda-pembrolizumab_09242021.pdf
8/14/2025 1:58 PM 215458 Venous-Procedures-with-Surgery-Billing-Guidelines-09.01.13-through-09.30.21.pdf
8/14/2025 1:58 PM 207887 Xalkori-1666-A-SGM-P2021.pdf