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83 This limitation can be overcome by either metabolically stable GLP-1 analogs or DPP-IV inhibitors

Chem Senses (2013) 38(1):6775

While there are some state and federal efforts to expand insurance coverage for these drugs in public programs like Medicaid and Medicare, some local private insurers like Independence Blue Cross (IBX) are restricting coverage
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Sanford M (2014) Dulaglutide: first global approval