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Instead, states use an array of payment strategies and utilization controls to manage pharmacy expenditures, including preferred drug lists (PDLs), prior authorization, managed care pharmacy carve-outs, and value-based arrangements (VBAs) negotiated with individual pharmaceutical manufacturers that increase supplemental rebates or refund payments to the state if the drug does not perform as expected

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Warnings and Precautions Do not use prescription GLP-1 medication without evaluation and approval from a licensed provider

Institute of Medicine (US) Committee on Nutrition, Trauma, and the Brain, Erdman, J., Oria, M., & Pillsbury, L