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In LUKE Health, this is implemented with dual-layer PostgreSQL triggers: Layer 1: A database trigger on the orders table checks for an active, non-expired prescription matching the compound being ordered Layer 2: A constraint trigger verifies the prescribing provider's license is valid for the patient's state This isn't application logic that a developer might accidentally bypass during a feature update

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Reference: Phase 3 Trial of Semaglutide in Metabolic DysfunctionAssociated Steatohepatitis by Arun J

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Unlike clinics that only provide medication, Ro emphasizes long-term results by pairing treatment with education and accountability