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[12] A 2020 review of GHK-Cu explicitly called for more well-designed human clinical trials

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Key trends shaping this sector include vertical integration (health insurers increasingly owning PBMs and specialty pharmacies), regulatory reform (FTC enforcement actions against PBM markup practices, Congressional PBM transparency provisions enacted in February 2026), and technological innovation (AI-driven pharmacy operations, digital prescribing, patient monitoring)

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