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Manufacturer patient assistance programs and copay savings cards can reduce costs for eligible patients, though these programs have specific eligibility criteria and may not be available for government insurance beneficiaries due to federal anti-kickback regulations

[Figure 3] Schematic diagram of endothelial cells that form the Blood-Brain Barrier and their associations with the perivascular end feet of astrocytes showing pathways across the BBB

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But the physiology is more nuanced than that simple framing suggests

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A dermatologist can confirm with examination or biopsy