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Response: We remind commenters that, as stated in the code descriptor for ASCVD risk assessment, billing practitioners may choose to assess for additional domains beyond those listed above if the tool used requires additional domains. We are also not requiring the use of any specific ASCVD risk assessment tool

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Monitoring for signs of B12 deficiency remains important, particularly if Mounjaro-related side effects lead to prolonged reduced food intake or vomiting

Mild redness or soreness at the injection site is most common

The commenter stated that the proposal imposes an additional burden of tracking the initial vaccines payments, and then submitting vaccine costs again on the annual cost report in order to ensure reimbursement at 100 percent of reasonable costs