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Population Limitations: As noted previously, the trials did not include elderly individuals, pregnant women, children, or those with certain medical conditions
CMS Transmittal 13673 (CR 14392) updated the MPFSDB effective April 6, 2026
How is Cyanocobalamin supplied Cyanocobalamin Injection, USP 1,000 mcg/mL NDC 87188-111-01 1 mL Fill in a 2 mL Multiple-Dose Vial NDC 87188-111-90 25 vials in a carton NDC 87188-112-01 10 mL Fill in a 10 mL Multiple-Dose Vial NDC 87188-112-01 1 vial in a carton NDC 87188-113-01 30 mL Fill in a 30 mL Multiple-Dose Vial NDC 87188-113-01 1 vial in a carton Store at 20C to 25C (68F to 77F)
A third is failing to let the solution rest briefly after swirling, which can leave undissolved particulate that affects the consistency of later measurements
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