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DXA scan report with T-score at the relevant anatomical site (lumbar spine or hip preferred) Documented diagnosis of osteoporosis with high fracture risk notation from the prescriber Record of prior osteoporosis treatment (or documented contraindication/intolerance) Cardiovascular risk assessment acknowledging FDA boxed warning Injection administration record with lot number, NDC, site of injection, units administered, and any discarded amount JW or JZ modifier selection documented in the chart note Signed patient consent acknowledging cardiovascular risk Digital intake and clinical documentation tools significantly reduce missing-field audit risk

Footnotes WebMD

& Duley, J

Here are the most common ones: Injecting water directly onto the lyophilizate , a strong jet can denature the peptide