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This may come as a shock to you but vitamin B12 is INCREDIBLY safe

After consideration of the public comment we received, we are finalizing our proposal, without modification, to continue to our policy of estimating outlier payments to be 1.0 percent of the estimated aggregate total payments under the OPPS and to use our established methodology to set the OPPS outlier fixed-dollar loss threshold for CY 2026

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But it uses the same approach in the gut to get it back into the body that is broken in people with PA

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