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Section 603 amended section 1833(t)(1)(B) of the Act by adding a new clause (v), which excludes from the definition of covered OPD services applicable items and services (defined in paragraph (21)(A) of the section) that are furnished on or after January 1, 2017, by an off-campus PBD, as defined in paragraph (21)(B) of the section

The preservative inhibits microbial growth, allowing repeated sterile withdrawals from a single sealed vial when aseptic technique is followed

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Journal of the American Chemical Society, 85 (14), 21492154

[1] Particular concerns with multi-dose vials include dosing errors (confusion between mg, mL, or units) and contamination from repeated access

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