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This proposal reflected certain modifications to the policy as finalized in the FY 2021 IPPS/LTCH PPS final rule (85 FR 58873 through 58892), as discussed further in section XX.C

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Laboratories may choose bacteriostatic water when: Working with multi-dose peptide vials requiring repeated access over days or weeks Conducting extended research protocols where peptides must remain stable in solution Minimizing contamination risk is a priority for experimental validity The peptide application tolerates benzyl alcohol (not for highly sensitive cell culture) Cost-effectiveness through reduced waste is important Laboratories may choose sterile water when: The entire reconstituted peptide solution will be used immediately in a single session Performing cell culture experiments where benzyl alcohol cytotoxicity is a concern Working with sensitive assays where preservatives could interfere with results Maximum purity without any additives is required for the protocol Fresh daily reconstitution aligns with existing laboratory workflows Quality Control Considerations Researchers should source reconstitution solutions exclusively from reputable suppliers with established quality control procedures