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But on April 10, CMS published a State Medicaid Director Letter stating CMS does not anticipate approving new state proposals of section 1115 demonstration expenditure authority for federal DSHP or DSIP funding or renewing existing Section 1115 demonstration expenditure authority for federal DSHP or DSIP funding, including when current DSHP or DSIP authority concludes before the expiration date of the demonstration. The reasoning

For compounders who had shunned the GLP-1 space due to its legal risk and to those who are seeing their business in that area dwindle, peptides are the obvious answer

Eur J Pharmacol 2003