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That's a rule payers enforce through NCCI edits

2026 Mar 5;189(5):1323-1340.e25

Bacteriostatic water containing 0.9% benzyl alcohol, lab-grade, sealed, and within its expiry date Sterile syringes , 3 mL or 5 mL, depending on your volume, with 21-gauge needles Sterile nasal spray bottle calibrated to deliver a fixed volume per actuation (typically 0.1 mL, confirm before starting) Alcohol prep pads , isopropyl at 70% concentration Nitrile gloves Clean, flat work surface that can be fully disinfected before use Critical: Confirm the actuation volume before you do any calculations

This gastric stability is what makes oral administration a viable option though "viable" does not mean "equivalent to injection." Bioavailability: Oral vs

Concretely, enhanced glycolysis in PCa cells leads to HIF-1 lactylation, upregulating KIAA1199, accompanied by increased secretion of VEGFA, ultimately advancing angiogenesis and vasculogenic mimicry