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Specifically, we finalized a policy to allow for audio-only services under certain circumstances and revised the regulation at 410.78(a)(3) to permit the use of audio-only equipment for telehealth services furnished to established patients in their homes for purposes of diagnosis, evaluation, or treatment of a mental health disorder (including substance use disorders) if the distant site physician or practitioner is technically capable of using an interactive telecommunications system as defined previously, but the patient is not capable of, or does not consent to, the use of video technology

To handle this safely, laboratories often utilize bulk compounding systems or pharmacy bulk packages

At 2 mg per week (the starting dose), one vial provides five doses across five weeks

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