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Follow the clinical plan and the vial label after opening, especially with multi-dose vials

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We stated in the proposed rule that while a shorter lookback period (3- or 6-month) could be useful for accounting for recent healthcare trends and identifying quick changes in allowed amounts, with respect to less frequently provided items and services, we acknowledged that hospitals may not have any remittance data from such a short time period from which to derive the allowed amount data elements, which would result in numerous blanks in the MRF