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Thats because some Medicare and Medicaid plans may choose not to participate if prices for the drugs present budgetary concerns due to increased use, the petition stated

J Cell Physiol (2018) 233:885061

The addition of multiple GLP-1 receptor agonists to the National Reimbursement Drug List (NRDL) as part of Chinese government negotiations in 2019-2022 greatly enhanced access to these drugs, lowering the out-of-pocket cost by 60-80% and putting the drug into 200-300% use in 12-18 months of listing

A., Mhlenbock, P., Brosch, M

Antioxidants 12, 658

Worth noting: Lemme GLP-1 was involved in a recent class action lawsuit for false advertising