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Dulaglutide is an Fc fusion protein consisting of two DPP-4-protected GLP-1(737) sequences (also referred to as V8-GLP-1) linked at their C-termini to the N-terminus of the human Fc domain of immunoglobulin G4 (IgG4) by a glycine- and serine-based spacer [56,118,119]

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Under Medicare statute, individuals who receive Medicare Part A or Part B have "freedom of choice"--the ability to obtain health services from any provider that is qualified to participate in the program