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Members of both parties pressed PBM executives on formulary design, rebate structures, offshore GPO arrangements, and reimbursement practices that independent pharmacies say pay below acquisition cost

BPC-157 exists in a regulatory category as a dietary supplement ingredient, meaning it can be legally sold for general wellness purposes but cannot be marketed to treat, cure, or prevent diseases

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These products typically contain specific bacterial strainsmost commonly Akkermansia muciniphila , Lactobacillus species, and Bifidobacterium strainsthat manufacturers claim can stimulate the body's natural production of glucagon-like peptide-1 (GLP-1)