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Looking ahead, several research priorities will shape the future of metformin in cardiovascular medicine

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What happens after that remains uncertain, though expanding coverage would cost $35 billion through 2034 according to Congressional Budget Office projections

2009 Oct;19(5):426-31

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A commenter stated that CMS should avoid relying on NPI for prescribers or contract pharmacy identifiers to identify 340B claims, stating that this would likely cause confusion and misidentification