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Many of Parkviews customers are Dual Eligible, which means they can change plans each month during the year

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doi: 10.1038/msb.2013.65 48 ZhangWLiHOgandoDGLiSFengMPriceFWJret al

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The effective exclusivity end date is determined by the last-expiring patent (or regulatory exclusivity) that a generic company cannot design around or successfully challenge

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