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Insulin, GLP-1 drugs, and the growth hormone tesamorelin are all peptides that are already FDA-approved to treat certain conditions

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Section 1886(b)(3)(B)(xi)(II) of the Act defines the productivity adjustment as equal to the 10-year ( moving average of changes in annual economy-wide, private nonfarm business multifactor productivity (MFP) (as projected by the Secretary for the 10-year period ending with the applicable fiscal year, year, cost reporting period, or other annual period) (the productivity adjustment)

Three months past expiration, you could be down 3-6%