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Now back on Lymecycline so I think I may try see if there is alternative b12 options such as tablets minniemouse89, I have to confess I haven't read every post on this thread, so apologies if I'm saying something that's already been said

The commenter suggested CMS establish a threshold such that if the payment differential between what was provided and actual costs is greater than 1.5 percentage points, there is a retroactive adjustment to payments above the threshold