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( 25 ) G2086, G2087, and G2088 (codes for office-based opioid use disorder services)

These include pregnancy (safety isn't established, though basic hydration may be appropriate), liver disease (which might require modified formulations), certain medications that could interact with IV components, or a history of difficult IV access

A certificate of analysis (COA) from a third-party HPLC and mass spectrometry lab is the minimum standard for knowing what is actually in a vial

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Cycling with breaks of 2-4 weeks between protocols may help maintain response