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Timing and market context The effective date is notable because it aligns with several market and regulatory developments including the January 1, 2027 implementation of the Medicare maximum fair price for these drugs

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Clinical Pharmacology Mechanism Of Action Sitagliptin is a DPP-4 inhibitor, which is believed to exert its actions in patients with type 2 diabetes by slowing the inactivation of incretin hormones

It often means the patients goals evolved over time