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We believe that basing the prospective update on these forecasts is an appropriate method, while also acknowledging that these are expectations of expected trends and may differ from actual experience

Patients who incorporate B12 + MIC injections into a structured wellness plan may notice improved energy levels and a reduction in fatigue, which can make it easier to maintain an active lifestyle

Cost-effectiveness appeals to many users, as a months supply of oral B12 typically costs $5-20 depending on formulation and quality

Given this difference in the allowed supplier margin, the amounts determined to be reasonable payment rates for these items by the VHA may be approximated by increasing the average Medicaid payment rate by 20 to 30 percent

Recommended Frequency: Weekly or bi-weekly for 6-12 weeks