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10.1016/S2213-8587(22)00243-1 33 HelmstadterJ.KeppelerK.AustF.KusterL.FrenisK.FilippouK.et al (2021)
Special Issuance Cases When a medical condition or medication falls outside standard certification pathways, the FAA may deny certification or require a Special Issuance authorization before medical certification can be granted or renewed
Additionally, manufacturers can modify or discontinue savings programs at any time, creating uncertainty for patients who budget around the reduced cost
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