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Contraindications NASCOBAL is contraindicated in patients with hypersensitivity to cobalt and/or vitamin B12 or any of its excipients [see Warnings and Precautions (5.2)]

Very common (affects more than 1 in 10 people): mild pain, redness, or swelling at the injection site that usually resolves within 24 hours

Once reconstituted with bacteriostatic water, the solution must be refrigerated at 2-8C (standard refrigerator temperature) and remains stable for approximately three to four weeks

Payors are getting smarter about documentation

Always verify payer-specific LCD (Local Coverage Determination) or billing policies before assuming a modifier is or is not required

Whether one is better than the other depends on your health and what your doctor advises