; (B) by striking ceiling price ), and and inserting ceiling price ); ; (C) by striking shall require that the manufacturer offer and inserting the following: (B) the manufacturer offer ; and (D) by striking the period at the end and inserting the following: , regardless of the manner or location in which the drug is dispensed; and (C) the manufacturer not place conditions on the ability of a covered entity to purchase and use a covered outpatient drug at or below the applicable ceiling price, regardless of the manner or location in which the drug is dispensed, including but not limited to placing limits on the delivery of drugs, placing limits on the mechanisms through which drugs may be purchased, placing limits on where such drugs may be delivered, administered, or dispensed, requiring a covered entity’s assurance of compliance with requirements under this section, or requiring the submission of claims data or other information, except that, notwithstanding this subparagraph, the manufacturer may impose such conditions after receiving advance approval from the Secretary (or, with respect to conditions specified by the Secretary, without such advance approval) if such conditions would not discourage covered entities from purchasing the manufacturer’s drugs through the drug discount program under this section or otherwise undermine the objective of this section, either by singling out covered entities from other customers for such conditions or by imposing conditions that disproportionately impact covered entities.