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Several factors could explain the low uptake: Part D plans were likely hesitant to add the costly drugs to their formularies, patients could have faced barriers like high-cost sharing or other restrictions on use, and providers may have had limited awareness of the changes
Zhong X, He X, Wang Y, Hu Z, Huang H, Zhao S, et al
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Individuals with Gastrointestinal Disorders Conditions such as Crohns disease, celiac disease, or those who have undergone weight loss surgery can affect the bodys ability to absorb B12
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