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This is particularly important for vegans/vegetarians, the elderly, and anyone unable to absorb B12 efficiently

doi: 10.1016/S0090-4295(96)00313-5 60 SalehRAAgarwalASharmaRKNelsonDRThomasAJJr

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Prior to becoming an Orthopedic Surgeon, he was a former All-Conference and Academic All-American linebacker at the University of Nebraska and drafted by the LA Rams before completing medical school and orthopedic surgery training at Harvard

Comment: Some commenters recommended CMS work with an independent, neutral entity that would serve as a clearinghouse for not only Part D claims data, but other payer claims data as well, and create full transparency to facilitate the exchange of information to identify 340B claims, prevent duplicate discounts across Medicaid and Medicare and other programs, and resolve disputes or other issues