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The physician self-referral law would be implicated only if the therapist or practitioner who provides the fitting component of a service is a physician or the immediate family member of a physician (as defined at 411.351) and there is a financial relationship between the therapist or practitioner and the DMEPOS supplier

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If neither is available, mix the medication with an undesirable substance (like coffee grounds or cat litter), place it in a sealed container, and dispose of it in household trash