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The official rationale has been cost control the drugs are expensive, and if everyone who is eligible for them actually took them, the actuarial cost would be very large

Scores change when pricing, policies, pharmacy details, or clinical workflows change

Modrzejewska-Sikorska A, Robakowska M, Konowa E, Gojzewski H, Gierz , Wieczorek B et al (2023) Lignin and starch derivatives with selenium nanoparticles for the efficient reduction of dyes and as polymer fillers