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Comment: A commenter expressed concern that current CMS payment for peritoneal dialysis (PD) catheter placement may have created a disincentive for performing the procedure

Each documented batch is reviewed for purity through HPLC analysis and for compound identity through mass-spectrometry confirmation

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Oral supplementation may be appropriate for dietary deficiency in the absence of malabsorption

Individualized Maintenance Schedules While most get 1,000 mcg monthly, some may need different schedules

It is appropriate for single-dose, immediate-use preparations and is discarded after a single use