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Important clinical note: Prescribers should counsel patients that compounded preparations are not FDA-approved, that quality can vary between pharmacies, and that the evidence base for specific compounded formulations is more limited than for FDA-approved products

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Dihydroergotamine mesylate nasal spray should not be given to patients with ischemic heart disease (angina pectoris, history of myocardial infarction, or documented silent ischemia) or to patients who have clinical symptoms or findings consistent with coronary artery vasospasm including Prinzmetal's variant angina

Common vaccine administration codes include: CPT 90471 Initial vaccine administration CPT 90472 Each additional vaccine CPT 90473 Oral or intranasal administration CPT 90474 Additional oral or intranasal vaccine administration CPT 90480 COVID-19 vaccine administration Unlike therapeutic injections, vaccine administration coding often requires separate reporting of both the administration code and vaccine product code