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Used by nearly a quarter of adults globally, meds such as omeprazole are used to reduce stomach acid levels, but consistent use for 12 months or more can lower B12 absorption

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After consideration of the public comment we received, we are finalizing our proposal, without modification, to continue to our policy of estimating outlier payments to be 1.0 percent of the estimated aggregate total payments under the OPPS and to use our established methodology to set the OPPS outlier fixed-dollar loss threshold for CY 2026

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