AARDA signed on to the All Copays Count Coalition’s Sign-On Letter regarding the HHS Notice of Benefit and Payment Parameters (NBPP) 2022 Proposed Rule. Specifically, the letter addresses the issue of accumulator adjustment programs in the 2022 NBPP language and asks for a return to the 2020 NBPP Proposed Rule language that would have prohibited payers from excluding copay assistance from counting toward a patient’s cost-sharing.