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Policy analysts cite different reasons for payers holding back, including the drugs impact on pharmaceutical budgets coupled with the lack of short-term cost savings associated with their use

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Chen W, Ni Y, Pan Y et al (2005) GABA, progesterone and zona pellucida activation of PLA 2 and regulation by MEK-ERK1/2 during acrosomal exocytosis in guinea pig spermatozoa