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During budget discussions last year, the state department of human services secretary, Val Arkoosh, said Pennsylvania was considering the cuts to ensure the medications are used appropriately by those who need it most, while considering cost effectiveness by limiting access based on body mass index or other health factors

The next costly and more effective comparator, oral semaglutide 14 mg, resulted in an ICER of $25,161 per QALY gained versus canagliflozin 300 mg

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63 After 14 days of treatment, the group receiving the combination had a significant improvement in symptoms versus no change in the placebo group

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