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This centralized approachknown as the volume-based procurement policyaims to reduce drug prices, improve efficiency, and ensure consistent quality across the country

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[DOI] [PubMed] [Google Scholar] Siwek M, Sowa-Kuma M, Dudek D, Stycze K, Szewczyk B, Kotarska K, Misztakk P, Pilc A, Wolak M, Nowak G

The ADA 2026 Standards of Care now recommend GLP-1 receptor agonists with demonstrated cardiovascular benefit for patients with type 2 diabetes and established ASCVD, multiple cardiovascular risk factors, or chronic kidney disease, and note that combination with SGLT2 inhibitors may provide additive benefit

A thorough medical evaluation is essential before starting any GLP-1 therapy, whether branded or compounded