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For the mainstream market, however, the risk has become prohibitive: compounders now face active lawsuits from both Novo and Lilly, permanent injunctions, and FDA sanctions that include criminal referrals

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The Centers for Medicare & Medicaid Services (CMS) recently said that broader access to GLP-1 drugs for weight loss could begin in Medicaid as early as May and in Medicare Part D in January 2027, under its BALANCE Model