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Bacteriostatic water can help suppress bacterial growth in multi-use contexts, but it does not stop chemical degradation forever and it does not rescue a vial that was handled poorly

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Sections 1835(a)(2)(C) and 1835(a)(2)(D) of the Act require that payment for Medicare therapy services may be made for outpatient physical therapy, occupational therapy, and speech-language pathology services only if a physician certifies (and recertifies, where such services are furnished over a period of time) that: (a) the services are or were required because the patient needs or needed therapy services