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B12 shots are particularly effective for deficiency management when: A healthcare provider has confirmed serum B12 levels below 200 pg/mL

E50.1 requires both conjunctival xerosis AND Bitots spot to be present and documented

Additionally, as we suggested in section 60 of the revised Medicare Part B Drug Inflation Rebate Guidance, CMS considered options for establishing circumstances where a recalculation of ( the rebate amount may be appropriate for an applicable calendar quarter after issuing the Rebate Report and/or a reconciled rebate amount based on CMS identifying an error or CMS determining that the information used to calculate a rebate amount was inaccurate due to false reporting or similar fault by the manufacturer (for example, manufacturer pricing or product data under section 1927(b)(3) of the Act)