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We acknowledge that different hospitals may face more or less ( burden and do not assert that the total annual burden for every hospital will be precisely 20 hours, but we continue to believe that the 20 hour estimate per hospital for this data collection is reasonable given that hospitals will already be required to disclose the data used to calculate the median payer-specific negotiated charges under the Hospital Price Transparency requirements

Mechanism of Action: Cyanocobalamin, a synthetic form of vitamin B12, works by participating in crucial biological processes such as DNA synthesis, red blood cell formation, and neurological function