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Lastly, because there is no requirement for a physician/NPP order or referral for patients to obtain outpatient therapy services, we proposed to make clear in 424.24(c)(5) that the references to an order or referral in 424.24(c)(5) shall not be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services

14.5 Risk Reduction of NSAID-Associated Gastric Ulcer Two multicenter, double-blind, placebo-controlled studies were conducted in adult patients at risk of developing gastric and/or duodenal ulcers associated with continuous use of non-selective and COX-2 selective NSAIDs