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For Part D plan sponsors, the orphan drug exemption from negotiation could be a double-edged sword: on one hand, it preserves manufacturer revenues (and thus perhaps maintains broad drug availability), but it also means plans won’t benefit from negotiated lower costs on some high-priced drugs, which could keep Part D spending (and premiums) higher than otherwise
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'I haven’t seen convincing evidence that any of these will make a significant impact on weight loss,' Dr Ali says
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