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Participation in the BALANCE Model is voluntary for drug manufacturers, state Medicaid programs, and Medicare Part D plans, but there was insufficient interest among Medicare Part D plans to move forward in 2027 Participation in BALANCE is voluntary for drug manufacturers, state Medicaid agencies, and Medicare Part D plans

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However, a 2024 double-blind randomised trial in women with PCOS found no pregnancy-rate benefit during controlled ovarian stimulation

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