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Mittal M, Siddiqui MR, Tran K, Reddy SP, Malik AB

Manufacturers have recently rolled out cash-pay options that lower the price substantially (for example, self-pay around $349 a month), but the core drivers (exclusivity, demand, and the US system) keep list prices high

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The cost of GLP-1 in India has been in genuine motion through 2025 and 2026 a patent expiry, two rounds of branded price cuts, and a scramble of generic launches all landed within a few months of each other