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Each vial is independently third-party tested with a Certificate of Analysis (COA) available on request
The B12 used can be hydroxocobalamin (in Europe) or cyanocobalamin (in the United States)
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Additionally, on September 2, 2025, CMS announced new policy and operational changes in connection with an extension of the Achieving Healthcare Efficiency through Accountable Design (AHEAD) model, which is a component of New Yorks current waiver
