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That requires 12.5 units on the syringe

Avoiding binge drinkingdefined as five or more drinks in about two hours for men, or four for womenis crucial because rapid, excessive consumption can overwhelm the liver, leading to toxic BAC levels exceeding 0.40%

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As discussed in the CY 2025 PFS proposed rule (89 FR 62092) and this section IV.A.4.g.(2)(c) of this final rule, maintaining a performance threshold of 75 points allows additional time for more data to become available, continues to provide opportunities for clinicians to become familiar with the cost measure scoring, and ensures that we do not inadvertently disadvantage certain clinician types, such as small practices and solo practitioners

If railroad access is planned, a separate approach is not necessary