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2004;41(8):e107

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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

Furthermore, some gonococcal strains have been shown to harbor the truncated lactoferrin receptor LbpAB, despite the fitness advantage conferred by possessing a functional LbpAB in experimental infection of the human male urethra ( N