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Strong dual CYP3A4/P-gp inhibitors (ketoconazole, ritonavir, clarithromycin) can double apixaban exposure [1]

Five months at $399 to $499 per month means you are spending $2,000 to $2,500 before the guarantee becomes applicable

Published pricing lives on the brand's own site, and across the telehealth GLP-1 market monthly totals as of April 2026 fall roughly between $200 and $700+, with wide variance

However, it's essential to listen to your body and consult with a healthcare provider if you have any concerns