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Several factors could explain the low uptake: Part D plans were likely hesitant to add the costly drugs to their formularies, patients could have faced barriers like high-cost sharing or other restrictions on use, and providers may have had limited awareness of the changes

SPSS version 27 (IBM, Armonk, NY, USA), and R version 4.1.3 (matchit package, R Foundation for Statistical Computing, Vienna, Austria)

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