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In its brief opposing the preliminary injunction, the FDA defends its data-driven conclusion that "Lilly's supply is currently exceeding demand and will meet or exceed projected demand across all strengths of Mounjaro and Zepbound." The FDA's determination relied heavily on confidential data provided by Lilly

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However, unlike some of the patients Anekwe treats in Massachusetts where Medicaid covers the medications most adults across the country face steep out-of-pocket costs for treatments

A compounder mixes a finished preparation for a named patient under pharmacy oversight, which Health Canada has stated is not a permitted activity for GLP-1 receptor agonists, including tirzepatide