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The problem isn't the prescription

L-carnitine is a type of amino acid that is absolutely necessary for the movement of fatty acids into the mitochondria, which are the energy-producing parts of cells

These serious side effects can occur with Ozempic

Specifically, one commenter suggested that CMS consider unpackaging their product, a contrast agent, and believed CMS's reasoning in the CY 2026 OPPS/ASC proposed rule for unpackaging and paying separately for diagnostic radiopharmaceuticals applies equally or even more to their product, since the cost of their product is over 500 times greater than the amount reported for the policy packaged drugs offset associated with the Level II Urology APC