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“The hope was that once we have oral agents, they’re going to be less expensive than the injectable, because some of the justification for the higher cost of the injectable was the mode of delivery, the pens,” says Rozalina McCoy, an endocrinologist and internist at the University of Maryland School of Medicine.* “Even though I’m not surprised, I am disappointed that the oral treatment, which doesn’t have that higher cost, is going to be a [similar] price for patients.” McCoy is also concerned that the relative ease of accessing the pills may increase their off-label use among people who do not have obesity