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J Clin Endocrinol Metab (2022) dgac166

10.1016/S0140-6736(89)91909-0 Lancet 23 CaiJ.ChenY.SethS.FurukawaS.CompansR

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This tier has the highest rate of independent testing failures in community reports including product that tests as sterile water with no benzyl alcohol, sub-spec preservative concentrations, and endotoxin levels above USP limits

For single-use vials (eg, triamcinolone acetonide [Triesence, Alcon]), the units injected are billed with the appropriate J-code, along with any wasted medication greater than 1 unit