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With significant Medicaid cuts in federal budget outlays as a result of passage of The Big Beautiful Bill, it is likely more states will follow suit

However, with such a large gap in coverage, Lilly is willing to accept this, given the huge volume increase that Employer Connect could lead to

Ultimately, Pfizer discontinued the entire program in April 2025, citing that the risk-benefit profile, including a potential case of drug-induced liver injury (DILI) in a recent study, did not support further development

PMID: 19875402, DOI: 10.1093/eurjhf/hfp137