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The 60 mg format is not an FDA-approved product

Multi-dose use requires careful storage and handling during repeated vial access

Contraindicated in Leber's disease (B12 risk) 2

If the volume looks significantly more or less than expected, you may have an air bubble giving a false reading or may have added the wrong amount of water

Consulting Healthcare Professionals A proper diagnosis and treatment plan from healthcare experts are essential for managing this condition effectively

Per National Adult and Influenza Immunization Summit coding guidance, this applies to all administration codes including 90471 through 90474