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Those certifications mean something about sourcing standards and protocol oversight

Every vial includes a certificate of analysis verifying purity at the time of manufacture, which serves as the baseline for calculating remaining shelf life

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(As previously noted, section 1886(b)(3)(B)(xii) of the Act required an additional reduction each year only for FYs 2010 through 2019.) Section 1886(b)(3)(B)(iv) of the Act provides that the applicable percentage increase to the hospital-specific rates for SCHs and MDHs equals the applicable percentage increase set forth in section 1886(b)(3)(B)(i) of the Act (that is, the same update factor as for all other hospitals subject to the IPPS)