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unregulated products aren't checked for purity or safety

The formulation also includes pharmaceutical excipients such as disodium phosphate dihydrate, propylene glycol, phenol, and water for injections to ensure stability and sterility

Consistent with that policy and the requirement at section 1833(i)(2)(D)(ii) of the Act that the revised payment system be implemented so that it would be budget neutral, the initial ASC conversion factor (CY 2008) was calculated so that estimated total Medicare payments under the revised ASC payment system in the first year would be budget neutral to estimated total Medicare payments under the prior (CY 2007) ASC payment system (the ASC conversion factor is multiplied by the relative payment weights calculated for many ASC services in order to establish payment rates)

The progress is steady and sustainable