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Mistake 8: frequent unnecessary punctures Each needle puncture through the stopper introduces a small amount of air and creates a slightly larger pathway for future air entry

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Without these changes, if we keep the existing date of January 1, 2025, as the beginning date for which these prescriptions will be considered for compliance purposes for the CMS EPCS Program and on which we would begin to take compliance actions based on these prescriptions, we estimate at least 6,800 prescribers would become non-compliant due to CMS including prescriptions written for beneficiaries in LTC in the CMS EPCS Program compliance threshold calculation