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Your fill is Injectable vial (5mL, 3mg/mL, 15mg total), and you pay the pharmacy $80/15mg at wholesale, with no clinic markup

Another limitation is the need for consistency

Therefore, comprehensive Food and Drug Administration (FDA) approvals are needed for drugs currently under trial

[,] This systematic review aimed to analyze clinical trial data regarding the efficacy and safety of GLP-1 in the management of GDM and to assess the current evidence on the safety and efficacy of GLP-1 receptor agonists as pharmacologic options for managing GDM, based on available clinical trial data

The wholesale numbers explain the gap: per the Globe and Mail, Apotex lists a $78.14 wholesale price for a four-week supply versus $240.48 for brand Ozempic