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They can cause dryness and inflammation, enhance skin sensitivity, and remove natural oils

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2025 Exhibit 103: PBM Selection Factors, by Type of Plan Sponsor, 2025 Exhibit 104: Adoption of PBM National Formulary, by Type of Plan Sponsor, 2025 Exhibit 105: Number of Products on PBM Formulary Exclusion Lists, by PBM, 2012 to 2026 Exhibit 106: Number of Unique Products on PBM Formulary Exclusion Lists, Single-Source vs

The rationale is that effects accumulate during the course and persist between courses, with new courses reinforcing the previous effects