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Pernicious anemia is a type of B12 deficiency that causes fewer red blood cells to form
TIER 0 (18mg total) $195 total for 8-10 week supply Monthly cost breakdown: $78-$98 based on weekly dose Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (44mg total) $229 total for 8-10 week supply Monthly cost breakdown: $92-$115 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (66mg total) $259 total for 8-10 week supply Monthly cost breakdown: $104-$130 based on weekly dose Recommended for those on 6-8mg/week TIER 3 (88mg total) $299 total for 8-10 week supply Monthly cost breakdown: $120-$150 based on weekly dose Recommended for those on 9-11mg/week TIER 4 (132mg total) $349 total for 8-10 week supply Monthly cost breakdown: $140-$175 based on weekly dose Recommended for those on 12mg/week and up Red Rock Pharmacy - Tirzepatide/B12 Injection & Tirzepatide/Glycine Injection Up to 90 days BUD
Some research from Germany has shown that an even higher threshold (over 500 pg/mL) is necessary in early-to-mid pregnancy to maintain vitamin B12 levels throughout pregnancy, lactation, and to support an infants vitamin B12 status (via breast milk) through 6 months of age
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Response: We thank commenters for their support of our proposal to adopt the Emergency Care Access & Timeliness eCQM and agree that the measure is appropriate and relevant to REHs
They can run a simple blood test to verify if a vitamin B12 deficiency is to blame
