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Complete and submit the report Online : www.fda.gov/medwatch/report.htm Regular Mail or Fax : Download form www.fda.gov/MedWatch/getforms.htm or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178 Company Contact Information Consumers: Victory Medical Center Pharmacy (512) 279-0985

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D51.0 — Pernicious Anemia (Intrinsic Factor Deficiency) This code should only be used when the provider documents: Intrinsic factor deficiency Autoimmune gastritis History of gastric bypass Proven malabsorption If the provider writes “low B12,” don’t use D51.0—that’s overcoding and could trigger audits