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They are calibrated so that 40 units equals 1 milliliter instead of 0.4 milliliters

Journal of Neurochemistry, 151(2), 135-149

2001;23 Suppl 1:S85-S89

Most insurers, including UnitedHealthcare, Cigna, Blue Cross Blue Shield, Aetna, Medicare, and Medicaid, often cover these medications for qualifying conditions