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The pragmatic clinical trial was approved by the medical ethics committee of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (approval number 2023 0353) and was registered in the Chinese Clinical Trial Registry (www.chictr.org.cn

That could push Lilly and Novo to compete even more aggressively on price to preserve access, or expand direct-to-employer agreements that can secure lower prices for covered drugs than what the PBM model dictates

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