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In the US, it is available through licensed compounding pharmacies under clinician prescription

Specifically, one commenter suggested that CMS consider unpackaging their product, a contrast agent, and believed CMS's reasoning in the CY 2026 OPPS/ASC proposed rule for unpackaging and paying separately for diagnostic radiopharmaceuticals applies equally or even more to their product, since the cost of their product is over 500 times greater than the amount reported for the policy packaged drugs offset associated with the Level II Urology APC

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doi:10.1093/advances/nmab141

It is estimated that up to 92% of the US population is either chronically dehydrated or vitamin deficient