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Tricare must balance beneficiary access against system-wide budget constraintsa reality that often results in prior authorization denials or requirement for documented treatment failure with lower-cost alternatives first

2.3 Extraction of data The extracted data included information about the baseline characteristics of the enrolled population, the study design, the number of participants, the backgrounds of users or non-users of AHG active comparators, and the duration of follow-up

The reason is that they are FDA-approved for treating type II diabetes, not necessarily for treating PCOS

It also explains why the transformation looks different