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The practices that consistently get it right share a few common traits: they have documented workflows, they train clinical and billing staff together, they audit regularly, and they stay current on payer policy updates

This means a vial reconstituted for the 2mg phase (which provides 5 weekly doses from a 10mg vial) should be used within about 5 weeks, which aligns perfectly with the 4-week dose escalation schedule plus a small buffer