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Under the Medicaid Drug Rebate Program, Medicaid programs must cover nearly all of a participating manufacturers FDA-approved drugs for medically accepted indications

Mol Cell Endocrinol (2009) 297:13740

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It is challenging to modify the genome of the bacteria to produce the desired chemical, and bacteria will only synthesize peptides from certain amino acids

This confusion is understandable, given that both medications are frequently discussed in the same breath