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Pathways and resources should be configured in a way that optimizes available resources to deliver the best outcomes, including patient experience, with consideration of the need to provide a responsive (sometimes 7- day) service. ... Cost— often a significant issue. Discourages some patients from taking an adequate (or any) care package and. While on self-injection treatment, it is recommended that the patient visit the prescribing physician's office every 3 months to assess the efficacy and safety of the therapy and to adjust the dose of CAVERJECT IMPULSE, if needed. ... Patients on anticoagulants, such as warfarin or heparin, may have increased propensity for injection site. Enter the email address you signed up with and we'll email you a reset link.