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Based upon a review of 59 reported cases of accidental EpiPen finger injections (Fitzcharles-Bowe et al, 2006), finger necrosis appears unlikely (0 cases of necrosis out of 59 case reports reviewed)

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With a lower list price, the rebate tradeoffs tied to those strategies may be smaller, which may change the cost-benefit balance for some plan sponsors and open the door to additional strategies