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Drug pricing in Mexico is regulated more directly by the government, and the lack of the complex PBM (pharmacy benefit manager) middleman system that inflates US prices means medications reach consumers at prices much closer to actual production costs
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The key is bioavailability

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Certificate of Analysis Frequently Asked Questions 5-Amino-1MQ is a small-molecule inhibitor of the enzyme nicotinamide N-methyltransferase (NNMT)