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Description

A 79 bpm resting heart rate increase and systolic BP elevation of 35 mmHg

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We have considered other Medicare and Medicaid program parameters regarding reconciliation of program data, and we are finalizing our proposal as proposed because we believe it consistent with other CMS programs that do not include time parameters on certain revisions (for example, the Medicaid Drug Rebate Program obligations for reporting revised quarterly AMP, best price, customary prompt pay discounts, or nominal prices are not limited to 12 quarters in instances in which the change is to address an internal, Office of Inspector General, or Department of Justice investigation as specified at 447.510(b)(1)(v))

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GLP-1 medications (semaglutide and tirzepatide) are injected under the skin (subcutaneous), not into muscle Compounded GLP-1 medications come in multi-dose vials and require a syringe for accurate dosing Correct dosing is critical using a GLP-1 dose-to-units calculator helps prevent common mistakes The abdomen is the most commonly used injection site, but the thigh and upper arm are also safe options Rotate injection sites weekly to reduce irritation and improve medication absorption Always clean the injection site and remove air bubbles before injecting Never use medication that has been exposed to heat, sunlight, or freezing temperatures (especially important in Florida) Follow your healthcare providers instructions for dosing, storage, and injection technique GLP-1 medications are injectable treatments used for weight loss and metabolic support

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In a hospital setting, the following codes were revised: initial hospital inpatient or observation care (CPT codes 99221 99223) (note the codes for initial observation care [note that CPT codes 99224 -99226] have been deleted)

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