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Aetna uses CVS Caremark as its pharmacy benefit manager the company that actually manages formularies, processes prior authorizations, and determines tier placement for most Aetna commercial plans

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[26] Cesta CE, Rotem R, Bateman BT, et al

[5] [6] NICE guidance (NG28) acknowledges these differences, recommending consideration of hypoglycaemia risk and weight effects when selecting glucose-lowering therapies