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As set forth in 427.503(a), similar to the Suggestion of Error process proposed for the Preliminary Rebate Report at 427.501(a), within 10 calendar days after date of receipt of the information about the preliminary reconciliation of the rebate amount, we proposed that a manufacturer may suggest to CMS that the manufacturer believes the preliminary reconciled rebate amount contains a mathematical error

For these individuals, the risk associated with cyanocobalamin might be higher, necessitating a more careful approach to B12 supplementation, possibly under the guidance of a healthcare professional, to ensure their unique health needs are adequately addressed

The bottom line

What you might not know is that B12 is produced by bacteria found in soil as well as in the guts of animals (including humans) - but in order for the bacteria to make B12 the soil needs to contain the mineral cobalt