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In 2023, it placed adalimumab biosimilars (Hadlima, Hyrimoz) on preferred tier while moving Humira to non-preferred in several commercial plan segments, capturing rebate revenue from both AbbVie (which negotiated a defense rebate to protect Humiras tier) and from the biosimilar entrants seeking volume

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Rare side effects include pancreatitis and gallbladder complications, which may be more common in individuals with certain metabolic risk profiles

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