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Heres how distribution and access impact members: Limited distribution networks can restrict member access based on geography or pharmacy affiliation Prior authorization delays are one of the leading causes of specialty therapy abandonment PBMs with ownership stakes in specialty pharmacies have financial incentives to steer volume regardless of member need Active clinical management of the PA workflow prevents access gaps from becoming care gaps Balancing cost control with patient outcomes

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The compounded versions also did not use the same auto-injectors as the branded versions