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Challenges for Indian generics GLP-1 drugs such as semaglutide are peptide-based medicines that require specialized technology for production and distribution, including a cold chain for storage, making them more complex to manufacture

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"The HCSC transaction closed later than the company's financial planning assumptions, increasing the first quarter Cigna Healthcare [MLR] as the Medicare businesses operate at a higher [MLR] compared to the rest of the portfolio," the company wrote in its filing