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The firm pointed to the extensive gross-to-net adjustments that the manufacturers are already providing on these drugs. BMO Capital Markets, for its part, wrote in a note to investors, We reiterate that the important comparison remains the difference between the products newly discounted price and the products ultimate net price, including rebates, instead of their list prices

If reflux persists beyond 8 weeks, worsens, or causes significant discomfort despite omeprazole, inform your provideryou may need dose modification or alternative acid management