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If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )

Prescription Requirements and Medical Oversight To ensure safe and effective treatment, Vitamin B12 injections must be prescribed and administered under medical guidance

The injections are prescribed by a doctor and given intramuscularly, or into muscle

This method injects the vitamin into a muscle, usually in the deltoid or gluteal area

TIER 0 (20mg total) $235 total for 10 week supply Monthly cost breakdown: $94 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $325 total for 8-10 week supply Monthly cost breakdown: $130-$162 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $340 total for 8-10 week supply Monthly cost breakdown: $136-$170 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (90mg total) $380 total for 9-10 week supply Monthly cost breakdown: $152-$168 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $395 total for 8-10 week supply Monthly cost breakdown: $158-$197 based on weekly dose Recommended for those on 11mg/week and up Boudreaux Pharmacy - Tirzepatide/Glycine Injection (NEW) Up to 90 days BUD