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Is that you may see more step therapy and prior authorization, and even removal of drugs, like exclusion of drugs from formularies, because the incentive is going to be for them to really ratchet down the benefit, because theyre not going to be able to either pass the cost to the government, they cant charge the patients anymore, and they cant increase the premiums, which are three great things for patients

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Comparison of 4 AM and 4 PM bronchial responsiveness to hypertonic saline in asthma

doi:10.1016/s2213-8587(15)00482-9

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In addition, the absence of widely adopted, standardized clinical assessment tools has led to inconsistencies in evaluation and referral practices