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Participation from drug manufacturers and health plans remains voluntary, but the initiative signals a clear policy shift

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For Stephens, that shift occurred when he finally heard the words: Its not your fault." No one had ever said that to him before

If state Medicaid programs estimate the costs from expanded use will outweigh the savings, initial state Medicaid participation may be limited, especially given recent state budget challenges and federal funding cuts

PMID: 8404634

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