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Additionally, at 419.46(e)(3), 419.95(g)(3), and 416.310(d)(3), we proposed that we may grant an ECE to one or more hospitals, REHs, or ASCs that have not requested an ECE if we determine that: a systemic problem with a CMS data collection system directly impacted the ability of the hospital, REH, or ASC to comply with a quality data reporting requirement, or that an extraordinary circumstance has affected an entire region or locale

For example Vitamin B12 injection, and Vitamin B6 ampoules Dosage Forms of Vitamin B12 ampoules : SVP (Small Volume Parenteral) Injections