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Unlike HSAs, FSAs have the "use-it-or-lose-it" rule, where unspent funds at the end of the plan year can potentially be forfeited.If there are remaining funds at the end of the year, the employer may provide one of two choices (but not both): An additional 2.5 months is granted to use the leftover funds

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The guidance goes on to say medicines in this category should not be prescribed unless the pharmacy has been assured that the prescriber has contacted the GP in advance of issuing a prescription, and that the GP has confirmed to the prescriber that the prescription is appropriate for the patient and that appropriate monitoring is in place

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Despite clinical trial findings and the European Medicines Agency adding NAION warnings to GLP-1 drugs in June 2025, Eli Lillys January 2026 label update still omits any NAION warning

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