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Some of these commenters asserted that the imposition of an impossible requirement is, by definition, arbitrary and capricious and cited case law to support this belief

this may be due to the nature of the condition or via the limitation of therapeutic options available to these patients [7,8,9,10,11,12]

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Diabetes promotes development of CVD, and at least two classes of diabetes medications have been shown to improve CVD outcomes in patients with diabetes