These medications are usually injected into your upper arm, buttocks, or hip muscle and are called intramuscular injections

## **Documentation requirements for J2350** As with any procedure, especially involving injecting drugs into patients, it's important to document the following before you file for a claim that includes this code: - The full name of the personnel who administered the injection + their credentials - The name and address of the facility where the injection was administered - The physician's order for this injection - The full name of the patient - The date and time of the drug administration by injection, including the NDC number of the injection - Patient records showing they have been diagnosed with a type of multiple sclerosis (e.g., primary progressive MS, relapse-remitting MS, etc.) - Patient records showing any other active disease - Patient records showing if they have an active infection - Patient records showing if the patient had clinical relapses of MS - Hepatitis B virus screening results (if this is the first dose

If corticosteroids are indicated in patients with latent tuberculosis or tuberculin reactivity, close observation is necessary since reactivation of the disease may occur
This is sometimes referred to as the GH optimization stack because it creates a one-two GH punch, with ipamorelin surging GH and CJC-1295 keeping those levels elevated for a longer time
Only a licensed healthcare professional, such as a primary care physician or endocrinologist, can prescribe semaglutide
Case 1: A 34-year-old lawyer in trial prep, Bay Street corridor Concern: Borderline-low B12 on bloodwork, with fatigue that crept back between oral supplement doses