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The generic debut comes after Novo Nordisk, in 2019, failed to pay a $250 CAD maintenance fee on Canadian patent CA 2601784

doi: 10.3390/ijms25147676 181

Until now, regulatory uncertainty has made consistent access and prescribing workflows more complicated

[44] There is evidence that shows valproic acid may increase the chance of Polyendocrine Metabolic Ovarian Syndrome (PMOS) in women with epilepsy or bipolar disorder