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Ewes require additional B12 to support high glucose demands for lamb growth in utero and lactation

Historically, items packaged for payment provided in conjunction with the primary C-APC service also include all drugs, biologicals, and radiopharmaceuticals, regardless of cost, except those drugs with pass-through payment status and those drugs that are usually self-administered (SADs), unless they function as supplies (78 FR 74868 through 74869 and 74909)

A few of these commenters urged us to ensure HPT requirements are implemented with flexibility, clear technical guidance, and a supportive compliance framework that acknowledges the complexity of hospital pricing arrangements