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Intramuscular hydroxocobalamin is first-line treatment in the UK for B12 deficiency with neurological symptoms

I used some out-of-date ampoules last year but, more recently, happened to need blood tests so asked for B12/Folate to be checked

It should be used as a supplementary code alongside a primary diagnosis like E29.1, not as the sole justification for J1071 billing

We believe that averaging the price of the two types of buprenorphine monthly medication injections would be appropriate because the individual payment limits for each of the drug codes (Q9991, Q9992, and J0578) would both be informed by ASP data and comparable as they would be priced by the same ASP payment methodology (ASP+0)

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