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Response: We note that in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed to utilize the same file format requirementsthe QRDA standardapplied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively)

No evidence supports its use over or in addition to evidence-based orthobiologic interventions

In altering the nitric oxide system, BPC 157 helps reduce oxidative stress and inflammatory process at the site of injury, further stimulating healing mechanisms and minimizing damage to adjacent tissues and organs