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Vitamin B12 Sources and bioavailabiliy, Experimental Biology and Medicine

In the CY 2026 OPPS/ASC proposed rule we stated that we believed that because hospitals would already be required to publicly report the payer-specific negotiated charge information that they would use to calculate these medians, the additional calculation and reporting of the median payer-specific negotiated charge would result in less burden for hospitals than if hospitals did not already have this information compiled to disclose on the MRF under the hospital price transparency requirements

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However, there is no established direct causal link between vitamin B12 and joint pain in the medical literature