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doi:10.1080/19390211.2016.1188193

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M.TuY.et al (2016)

The definition finalized in that final rule states that the term BFSFs means fees paid by a manufacturer to an entity, that represent fair market value for a bona fide, itemized service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for) in the absence of the service arrangement, and that are not passed on in whole or in part to a client or customer of an entity, whether or not the entity takes title to the drug

Infection is rare but possible if the skin or equipment is not clean, which is one of the strongest arguments for having the injection done properly