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In addition, as noted in the CY 2025 PFS proposed rule (89 FR 61958), because reconciling a rebate amount imposes substantial administrative burden on CMS to reprocess the rebate amount, retest the reporting system, and reissue a rebate report, we proposed at 427.501(d)(2) that CMS may exercise discretion not to initiate a recalculation of the rebate amount in these situations which are outside of the regular reconciliation process set forth in 427.501(d)(1)

Informed Consent is Foundational to Safe B12 Injection Practice A well-designed B12 injection informed consent form does more than check a legal box