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He said deductibles should be spread out over each year. Most drugmakers offer patients financial assistance, particularly when pricey new drugs are first launched and the companies are trying to win over doctors and patients, to recoup their 1 billion-plus in development costs. Also, the industry's 20-year-old Partnership for Prescription Assistance connects patients to about 475 assistance programs, nearly 200 of them run by drugmakers. Visits to its site, www. pparx. orgrose 13 percent from January through October, to about 587,000, Under the Pfizer RxPathways program, the company will cover patient copayments for 44 medicines for both uninsured and underinsured patients earning up to four times the federal poverty level, up from twice that level.

In changes before the Norman conquest the East Saxons were subsumed into the Kingdom of England and, following the Norman conquest, Essex became a county.]