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[593] If, based on an initial analysis, we estimate that the ACO's savings, though higher once adjusted to remove improper payments from performance year expenditure calculations, would still fall below the MSR, it would not be necessary to reopen an ACO's payment determination because the ACO would still not qualify for a shared savings payment

Vitamin B12 1mg/2ml Injection Philo Composition: **Active Ingredient:** Cyanocobalamin (Vitamin B12) - 1 mg per 2 mL **Excipients:** Sodium Chloride (for isotonicity) Water for Injection Hydrochloric Acid (for pH adjustment) Sodium Hydroxide (for pH adjustment) #### Dosage: **Adults:** **Initial Dose:** 1 mg (1 mL) intramuscularly or subcutaneously, administered once daily for 1 week