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For most conditions, a patient can collect a months worth of pills and manage their own dosage schedule within a safe range, often a week or more in advance of needing them

Consistent with prior rulemaking under both the OPPS and the PFSranging from the CY 2019 OPPS/ASC final rule (83 FR 58904 through 58908) to the most recent CY 2025 OPPS/ASC final rule (89 FR 94080 through 94082) and the CY 2025 PFS final rule (89 FR 97778 through 97780)we continue to view these services as integral preparatory steps in the manufacturing of the therapy and, therefore, included in the payment for the product

Sperm production can decline dramatically or cease entirely

Expiration date

This risk-benefit analysis consistently favors waiting

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