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Here are examples of what you need: - The full name of the patient - The full names and credentials of the healthcare professionals handling the patient - The name, address, and type of facility where this injection was used - Signed provider order for use - Drug information (e.g., drug name, exact dose, route of administration, lot number, manufacturer, expiration date) - Clinical indication: line flush to maintain catheter patency - Documentation of the process of cleaning the IV line (e.g., cleaning the injection site/catheter port with antiseptic, drawing the heparin sodium into the syringe, injecting the solution into the catheter port slowly, disposing the syringe, etc.) ## **HCPCS code J1642 billing requirements** Besides the documentation requirements above, please make sure to take note of or have the following: - Every 10 units of the injection = 1 unit of service - Some payers (including Medicare) do not separately reimburse heparin flushes in many outpatient settings

Pending successful completion, FDA approval could come as early as 2027, which would make retatrutide the first approved triple-agonist medication
4 FDA Compounding Policy: Category 1 peptide reclassification, February 2026