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One committee member said he voted yes because he was "disappointed at how incomplete the data was." That is not how most drug evaluations are supposed to work

Response: We appreciate the commenters' feedback, but we believe the ASM scoring methodology as proposed in section III.C.2.e.(5) of the final rule is inclusive of the factors mentioned in the comment

Monitoring fluid intake and limb elevation can alleviate discomfort

In addition, Vitamin B12 contributes to normal energy-yielding metabolism and supports healthy psychological and cognitive function

Regarding concerns with the allowance of virtual direct supervision for services with a 000-day global services indicator, we do not agree that 000-day global services represent a similar level of risk as those with a 010-day indicator

Tailored Treatment: The dosage and form of B12 supplementation will always be tailored to your specific needs, the severity of your deficiency, and its root cause