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Pharmacy benefit managers (PBMs) operating in the state, including Express Scripts, CVS Caremark, and OptumRx, negotiate rebates with Novo Nordisk that affect formulary placement but do not directly reduce the price a cash-pay patient sees at the counter

Although the above studies showed the adverse effects of fluoxetine on male germ cells, the interpretation of the findings is complicated by their limitations, such as their relatively small sample size, the short experimental period, and the inadequate exploration of the mechanism of action