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While tirzepatide is not a controlled substance there, injectable medications require advance notification through the Yakkan Shoumei (import certificate) process for quantities exceeding a one-month supply
(2018) Dipeptidyl peptidase-4 inhibitors and incidence of inflammatory bowel disease among patients with type 2 diabetes: population based cohort study
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Appeals challenging formulary exclusions succeed less than 10% of the time, as these are plan design decisions rather than clinical determinations (Conference Board of Canada, 2025)
106(2):e1042-e1054
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