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Physical Form: Lyophilized Powder This peptide is provided in lyophilized (freeze-dried) form to ensure maximum stability and shelf life

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Because hospital name and address are not standardized, there may be variances between hospital and TiC MRFs

We assigned this code to status indicator A under OPPS indicating that this code would be paid separately under clinical laboratory fee schedule (CLFS), similar to other preventive screening tests that are excluded from the OPPS packaging policy for the laboratory tests