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USP 797 doesn't change with vial size The procedural rules under United States Pharmacopeia General Chapter 797 apply identically whether the vial is 10 mg, 20 mg, or 30 mg: Preparation inside an ISO Class 5 primary engineering control That hood inside an ISO Class 7 cleanroom buffer area Gowning sequence and antiseptic hand cleansing before entry Sterile 70% isopropyl alcohol disinfection of vial septa Single-use sterile syringes, needles, and filter needles Documentation of lot numbers, beyond-use dates, and pharmacist signatures What changes with vial size is the number of weekly doses the preparation will support, which affects beyond-use date assignment and the cumulative number of septum punctures

However, it is best to avoid treatments consistently under 12 weeks when possible because there may be some risk of antibody formation against Botox which can make it less effective over time

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