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It usually occurs during the first 6 months of VPA therapy and is commonly but not always preceded by minor elevations in transaminases

As a result, we are proposing that the maximum new technology add-on payment for a case involving the use of the TOPS TM System would be $11,375 for FY 2024 (that is, 65 percent of the average cost of the technology)

[DOI] [PMC free article] [PubMed] [Google Scholar] 1354.Weinberg JB, Granger DL, Pisetsky DS, Seldin MF, Misukonis MA, Mason SN, Pippen AM, Ruiz P, Wood ER, Gilkeson GS