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According to the American College of Rheumatology, since vaccines are not as effective for several months after receiving rituximab, you should ideally receive necessary ones before starting treatment or between courses. Of course, all of this data is based on studying rituximab with other vaccines, like flu and pneumonia

Advise patients that they will need to be monitored to see if impaired glucose tolerance or diabetes mellitus develops, and that if they have pre-existing diabetes mellitus, they may need adjustments to their anti-diabetic medications [see Warnings and Precautions (5.4)]

Consumers should not have to become experts in regulatory law to understand what they are putting into their bodies

A commenter also recommended CMS ensure no unintended consequences of this policy occur, such as manufacturers purposefully pricing their products just above the payment threshold