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Comment: A commenter supported the removal of the Median Time for Discharged ED Patients measure and recommended removing the measure before the CY 2028 reporting period/CY 2030 payment determination

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The Math The formula for any vial size and any amount of water: Concentration = Peptide Amount (mcg) / Water Added (mL) For injection volume: Units to inject = Desired Dose (mcg) / Concentration (mcg/mL) x 100 Example: 5,000mcg vial + 2mL water = 2,500mcg/mL

( After consideration of public comments as discussed in section V.C

The compounds require injection, and access can be limited due to cost and shortages