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Lancet (2010) 375(9724):144756

Canadian Patent Expiration Canada stands as the first major Western jurisdiction where semaglutide patents have expired, creating the opportunity for generic market entry

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Amid soaring GLP-1 demand, doctors face unrealistic patient expectations for weight loss Nearly 9 in 10 physicians expect GLP-1 prescriptions to at least double this year with the majority anticipating a 3.5x or more increase

(The July 1 deadline is only six weeks away.) CMS did write that pharmacies do not need to opt in to participate and, because the Bridge is outside of Part D, network pharmacies wont be an issue