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Which actually turned out to be a B12 ampoule

Zapf J, Hauri C, Waldvogel M, Froesch ER

Current pharmaceutical design, 17 (16), 16121632

Early trials reported it to be generally well tolerated at low doses, but these studies were small and of short duration

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JW and JZ Modifiers for Single-Dose Container Compliance Under the CMS discarded drug policy effective January 1, 2017 and continuing through 2026, every HCPCS J-code billed alongside CPT 20610 for a Medicare Part B claim requires either the JW modifier (for discarded amounts from single-dose containers that qualify for separate payment) or the JZ modifier (as an attestation that no drug was discarded from the single-dose container)