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If your vial remains cloudy, or "gel up" after proper reconstitution with our water, we provide a full refund or replacement vial no questions asked

We stated in the CY 2025 PFS proposed rule (89 FR 61981) that manufacturers of Part D rebatable drugs would receive a Rebate Report for their rebatable drugs even if the amount due is $0

The substantial hepatic storage of vitamin B 12 can delay clinical manifestations for up to 10 years after the onset of deficiency

As these separate events can result in distinct assessments of civil money penalties, this means that CMS will not modify a civil money penalty from a prior missed payment deadline based on changes to the rebate amount due following reconciliation, including scenarios where the rebate amount is reduced following reconciliation