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Patients complete an online health questionnaire, speak with a licensed provider via video, and receive a prescription if deemed appropriate

Common barriers include requirements for prior authorization, step therapy protocols, and outright coverage exclusions, all designed to control costs

Whilst menstrual changes are not listed as a direct adverse effect in the Summary of Product Characteristics, some women report cycle alterations after starting treatment

In most but not all studies, a small increase in white blood cell count (approximately 200 cells/microL difference in WBC vs placebo

Rigorous stability studies ensuring product integrity

Clin Exp Rheumatol (2021) 39(1):112