B12 injections bypass the digestive system, making them effective for individuals with absorption issues
Potential risks Serious risks and adverse events include: Allergic reaction to the medications or dye used in the injection Shoulder infection Depigmentation of the skin around the injection site (a whitening of the skin) Local fat atrophy around the injection site (thinning of the skin) Rupture of a tendon located in the path of the injection Nerve damage near the shoulder joint Bleeding at the injection site In addition to the above, corticosteroid injections increase the risk of: High blood pressure High blood sugar Decreased immune function Decrease in bone mineral density Bone infection (osteonecrosis) Reproductive hormone imbalance Metabolic changes (eg, increased appetite, weight gain, and fluid retention) These risks are typically associated with higher doses of corticosteroids, multiple injections, and for people with underlying medical conditions such as diabetes and heart problems
These are optional and offered at a cost of $20 per injection
A few commenters recommended CMS collect other data elements from covered entities, including quantity dispensed, covered entity 340B ID, Part D Contract ID, and Part D Plan Benefit Package ID to help identify if two covered entities claimed a 340B discount for the same dispensed prescription and to verify that a 340B claim was dispensed to a Part D beneficiary
