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Injecting air creates positive pressure inside the vial that forces liquid back through the needle tract on subsequent draws, introducing contaminants that compromise sterility over the 28-day use window

To prevent this, the Centers for Medicare and Medicaid Services (CMS) could require state Medicaid programs to meet standardized prior authorization criteria before getting access to lower prices

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However, the company anticipates potential challenges in the coming years due to increasing competition from biosimilars and evolving market dynamics