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In our Medicaid study, we manually reviewed each states prior authorization policy and found that most were more restrictive than FDA criteria for the drugs

They keep on testing formulation techniques till they find an effective solution

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Dulaglutide works by helping your body manage blood sugar levels and reduce appetite in several ways: Stimulates insulin release when blood glucose levels are elevated, which helps reduce post-meal sugar spikes

Trulicity stabilizes your blood sugar levels in two big ways: It helps your pancreas release insulin when your blood sugar is high, and limits the amount of sugar that moves from your liver to your bloodstream