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There is no quality assurance, no batch testing to pharmaceutical standards, and no clinical oversight when you are administering them on your own

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Response: While we note that APC geometric mean cost changes are expected under the current structure of the C-APCs and the complexity adjustments, we agree that a Level 3 Nerve Procedures APC is appropriate, in particular to resolve what would otherwise be a significant two times rule violation in the Level 2 APC

DURATION-5: Exenatide once weekly resulted in greater improvements in glycemic control compared with exenatide twice daily in patients with type 2 diabetes