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Should I increase the dose or frequency of monthly 1000mg (milligrams) vitamin B12 injections for a patient with persistent low vitamin B12 levels?

(3) To the extent that a new NDC-9 of a Part D rebatable drug is reported under section 1927 of the Act and AMP has not been reported for such NDC-9 under section 1927(b)(3)(A)(i)(I) or (ii) of the Act during the period set forth in paragraph (c)(1) or (2) of this section, as applicable, CMS will identify the payment amount benchmark period and calculate the benchmark period manufacturer price for such NDC-9 using other information reported by a manufacturer under section 1927(b)(3) of the Act for the Part D rebatable drug, as available, such as the base date AMP if such base date AMP is reported for a calendar quarter that overlaps with the period set forth in paragraph (c)(1) or (2) of this section

Most are mild and improve over time

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Step 6: Storage Once reconstituted, immediately return the vial to refrigerator storage (2-8C / 36-46F)

Doctors will keep checking B12 levels to adjust doses