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severe gastrointestinal disorders, severe kidney or liver disease

These facilities are subject to current Good Manufacturing Practice (cGMP) requirements, undergo state-board oversight and quality documentation, and must perform and document batch-level testing for potency, sterility, endotoxin levels, and other quality parameters

metformin, insulin, repaglinide, glibenclamide, glimepiride, rosiglitazone, gliclazide, perindopril-indapamide )

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This means your doctor will need to write a prescription for one or the other as they cannot be substituted at the pharmacy