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Be patient

Even when the diagnosis is correct, the absence of a lab result supporting that diagnosis creates a medical necessity audit vulnerability

Food and Drug Administration (FDA), has fostered an estimated $2.2 billion underground market

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What that means isnt always straightforward: In the Swiss study mentioned above, nearly three-quarters of primary-care docs surveyed reported using a multi-step approach (and not always the same one) when testing for B12 deficiencya practice that Miller says improves the odds of an accurate diagnosis since serum B12 levels alone dont always accurately identify a deficiency

Higher tiers have higher copays and coinsurance costs than generic and preferred brand name drugs