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In a document dated 13 September 2023, Germanys Federal Health Ministry, said: "The CEO of Eli Lilly, Dave Ricks, can be informed that the Federal Health Ministry is complying with Eli Lilly's request and is planning to enable confidential discounts for the manufacturer's price within the framework of the Medical Research Act." According to the document, the company had already "informed the Federal Health Ministry in a conversation with a department head weeks earlier that the investment would involve an amount in the low single-digit billions"

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