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If your plan has a step therapy requirement and your provider believes its not clinically appropriate for your situation, they can submit a step therapy exception request
J Biol Chem (2003) 278(11):943540.10.1074/jbc.M209706200 153 GomesJMGCostaJAAlfenasRCG
Many of these side effects get better when your body gets used to the medicine
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