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Local plans keep their boards, brands, and mutual status, but share the infrastructure single-state plans cannot afford to build alone claims platforms built once and deployed everywhere, compliance operations whose costs scale with rule volume rather than member count, drug procurement run through combined member volume

The maximum recommended dosage is 2 mg once weekly

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Research on health equity has emphasized the greater potential for population-level interventions to narrow equity gaps because individuals who are systematically disadvantaged are less able to take advantage of individual-level programs or behavior modification interventions