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    Policies for how countries select and procure products also require reexamination to boost competition and improve access to medicines. Policies that require purchase of nationally manufactured products can inhibit market entry and prevent efforts to pool procurement across countries, creating missed opportunities for savings. Some countries want to expand local manufacturing as a solution, but local monopolies and potential conflicts of interest can keep prices high. Corruption in the procurement of medicines also represents a major challenge. Understanding the scale of the problems in each country and designing bespoke reforms should be a priority for partnerships between the World Bank or the International Monetary Fund and national governments.

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    All personal information reported in relation to a complaint or a side effect will be processed in accordance with applicable data protection legislation. For avoidance of doubt, “data protection legislation” means the law governing the Novo Nordisk entity receiving the complaint or report, not the residence or location of the individual data subject submitting the report or complaint:

    Taking too many drugs. Nicole Lamber of Williamsburg, Va., says she became “completely nonfunctional”—with pain, rashes, diarrhea, and anxiety—from the adverse effects of several drugs, including some her doctors prescribed to treat side effects from her initial prescriptions.

    "There’s been a lot of consolidation in the generic manufacturing industry (companies merging with other companies, leaving less competition in the field). In very rare cases, we are left with only one generic manufacturer, so the generic is more expensive than the brand name. Supply and demand also happens in generic drugs and it’s all what the market will bear. Insurance companies may stipulate that you get a lower co-pay with generic than with a brand name even if brand name is less expensive. Patients with very expensive generics should ask their pharmacists if brand name medications are actually cheaper and if they are, switch back to the brand."

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