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Express Scripts reports that after receiving a complete PA submission, most decisions are made very quickly (with ePA systems, often minutes) ( [7] )

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Transport of ALCAR across cell membranes, including the blood-brain barrier, is primarily mediated by the organic cation/carnitine transporter 2 (OCTN2, encoded by SLC22A5), a sodium-dependent transporter expressed on the luminal side of endothelial cells [5]

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