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Healing is not a race

When the patient has allergies or sensitivities to inactive ingredients

(iii) In circumstances in which manufacturer's ASP data is not available and the unavailability of the manufacturer's ASP data results in a significant change in the ASP payment limit compared to the previous quarter, the payment limit is calculated by carrying over the most recently available ASP data for the individual NDC(s), adjusted by the weighted average of the change in the manufacturer's ASP data for the NDCs that were reported for both the most recently available previous quarter and the current quarter

If you are losing weight steadily at 1.0mg or 1.7mg with manageable side effects, there is no clinical mandate to escalate further