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Some maintain them longer under medical supervision

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Precedent comes from the Cell and Gene Therapy Access Model, which requires participating states to meet coverage and prior authorization standards to get negotiated prices for sickle cell therapies

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Oral GLP-1 programs remained minimal until the late 2000s, then began rising meaningfully post-2018with the most visible step-up in the last few years: 10 oral programs in 2022, and 11 each in 2024 and 2025

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