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Most states have turned to managed care to get their Medicaid costs under control with varying levels of success

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Most patients need prior authorization denials, step therapy failures, or medical comorbidities to qualify
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Despite this being prominent in the news, the first medication mentioned by GPs and IMs when asked Which drugs for managing of patients living with obesity are you aware of, even if you have not prescribed them? was, in 54% of responses, the much older and less effective orlistat and its brand names Xenical and Alli (figure 1)