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After vial or single-patient-use KwikPen has been opened: Store opened (in-use) multi-dose vial or single-patient-use KwikPen in the original carton in the refrigerator at 2C to 8C (36F to 46F) or at room temperature [up to 30C (86F)]

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Best for: Children, elderly, visually impaired, and anyone who values convenience, discretion, and accuracy

Response: As we noted in the CY 2026 OPPS/ASC proposed rule (90 FR 33774), while REHs may have some familiarity and experience with reporting eCQMs when formerly operating as a subsection (d) hospital or a CAH participating in the Medicare Promoting Interoperability Program, we recognize that technological, monetary, and staffing barriers may present challenges to eCQM adoption and use in some REHs

Patients pursuing energy optimization, metabolic support during weight-loss protocols, or lipid metabolism enhancement may discuss MIC B12 with providers, but baseline nutrient repletion takes priority