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Varying the maximum quarterly payment to reflect the latest available assigned beneficiary person years is similar to how we calculate the AIP quarterly payment calculation (refer to 425.630(f), CY 2023 PFS final rule (87 FR 69797)), for which we use the latest available assignment list to calculate the quarterly advance investment payment amount

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Bacteriostatic water requires refrigeration at 28C immediately after the first needle puncture and must be used within 28 days

But the alcohol offsets that because of the dehydrating factor

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For deficiency, weekly injections are common during the loading phase, and monthly maintenance is standard long-term