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While the CY 2018 performance period/2020 MIPS payment year's data predate the PHE for COVID-19, we continue to be concerned that an increase in the performance threshold will inadvertently harm certain clinician types, specifically small practices and solo practitioners

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Incorrect reconstitution can lead to: inconsistent dosing reduced clinical effectiveness increased likelihood of side effects difficulty assessing treatment response over time Accurate reconstitution helps ensure each measured dose delivers the intended number of international units, supporting predictable and consistent use within a clinician-led TRT protocol