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While most supplements will not directly impact the effectiveness of birth control pills, they do play essential roles in maintaining overall health, which can indirectly influence how your body responds to and metabolizes these contraceptives

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Response: We agree with commenters that these services are complementary to APCM services, and do not represent duplication of services as long as time and effort involved in furnishing these services are not counted more than once, requirements to bill the other services are met, and the services are medically reasonable and necessary