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Second, both Novo Nordisk and Lilly launched direct-to-patient self-pay programs (NovoCare, LillyDirect) at price points that materially undercut retail pharmacy

Once cheaper competitor products arrive on the scene, revenues for a previously exclusive blockbuster brand drug sink like a rock

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Now compare that to another patient who trained through the nausea with 20-minute abbreviated sessions

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In response, the FDA has continually mandated that all topiramate labels and medication guides contain updated warnings and precautions associated with its use