size of b12 injection CYANOCOBALAMIN INJECTION, USP 30000 mcg/30 mL (1000 mcg/mL) 30 mL VIAL Choosing the Right Needle and
Description
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Since off-label uses are generally not covered by Medicare, Marks B12 shots were not covered, and he had to pay for them out of pocket
99% by HPLC, with mass spectrometry confirming identity

As we noted in the CY 2023 HH PPS final rule we responded to this assertion stating: Medicare has never set payments to cross-subsidize other payers
