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If I had to guess, I would guess that Merck has made some sort of deal with insurance companies for them to help underwrite the cost of the coupon. Really I would contact them and ask, the most they can say is no but they might say yes.
Also you might ask your doc if there is another medication you can use for now. My diabetes is currently well controlled with just Metformin, a medication which has been around for a long time and which is extremely cheap.
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