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As we described in the CY 2025 PFS proposed rule (89 FR 61981), as the first step in the reporting process, as proposed at 428.401(b) and consistent with section 50 of the revised Medicare Part D Drug Inflation Rebate Guidance, CMS will provide each manufacturer of a Part D rebatable drug with the preliminary rebate amount through a Preliminary Rebate Report at least 1 month prior to the issuance of the Rebate Report as set forth in 428.401(c) for an applicable period (that is, approximately 8 months after the end of the applicable period unless otherwise specified)

For this reason, those eating a vegetarian or a vegan diet are more prone to B12 deficiency and will, therefore, need to supplement this

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Glenn Smith, MD, a neurologist at Houston Methodist

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