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In some cases, injections may be given daily or several times per week at the beginning of therapy, and then the interval may be extended or switched to oral tablets once vitamin levels and symptoms improve

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Comment: Many commenters expressed concerns that, for low-volume services especially in rural settings the requirement to encode the count of allowed amounts could mean publishing very small claim counts that risk disclosure of protected health information and conflict with long-standing CMS and Federal data suppression standards

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