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Broussenko emphasized how generic drug pricing in Canada is governed by an agreement that indexes the cost as a percentage of the brand-name price, and once generics hit the market, manufacturers typically match through patient support programs to discourage switching

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The key difference for you: oral formulations tend to produce more upper-GI symptoms (nausea, reflux) because the medication contacts your stomach lining directly, while injectables bypass the GI tract

Access, Safety, and Who Should Consider Compounded Alternatives Patients with significant cost barriers, complex dosing needs, or prior intolerance to fixed-dose medications may benefit from evaluating compounded oral semaglutide through licensed 503A pharmacies