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If CMS determines that FDA has approved such a therapeutically equivalent drug under a section 505(j) ANDA, CMS will then: use the FDA's NDC Directory, including historical information from NDC Directory files such as discontinued, delisted, and expired listings provided by the FDA or published on the FDA website to determine the marketing status of such therapeutically equivalent drug and whether, during the applicable period, the therapeutically equivalent drug was marketed

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Bruxism symptoms Excessive tooth wear: If youre grinding your teeth, youll probably notice that your teeth become stained and worn down

A high-pitched sound heard at the third left intercostal space