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We set forth the services that are excluded from payment under the OPPS in regulations at 42 CFR 419.22

The commenter specifically noted that low payment for PD catheter placement relative to vascular access procedures may create barriers to patients receiving more convenient home-based treatment

Adverse Effects and Reporting Adverse events or suspected contamination issues should be reported immediately to the manufacturer (Hospira/Pfizer) and relevant regulatory authorities (FDA MedWatch, poison control, or institutional pharmacovigilance systems)

This can be confusing, as vitamins are usually linked with positive health benefits rather than side effects