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In particular, section 1842(o)(5)(A)(ii) of the Act specifies that the furnishing fee can take into account ancillary supplies and patient training for the self-administration of such factors. As stated in the CY 2005 PFS final rule, the furnishing fee accounts for the costs associated with supplying the clotting factor, including patient training necessary for self-administration of such factors (69 FR 47523

Mandal M, Myers JN, Lippman SM, Johnson FM, Williams MD, Rayala S, Ohshiro K, Rosenthal DI , Weber RS, Gallick GE, El-Naggar AK

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