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While CVS is pursuing changes in policy, its competitor Cignas PBM Express Scripts will also launch a new drug pricing service this year, but one that is qualitatively different

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Dose adjustments in older adults typically involve starting at the lower end of the range (100 to 150 mcg per injection) and titrating based on IGF-1 response and tolerability, given that baseline GH reserve is lower and water-retention side effects may be more symptomatic in older patients with pre-existing cardiovascular conditions