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For patients with melasma who want full face lightening in addition to treating melasma, tranexamic acid is a useful medication ( tranexamic is an oral fibrinolytic drug that is not FDA approved for this indication )

CVS cash pricing on FDA-approved tirzepatide in 2026: Mounjaro (any dose pen, 30-day supply): $1,050 to $1,150 Zepbound (any dose pen, 28-day supply): $1,059 to $1,200 LillyDirect Zepbound 2.5 mg vial: $349 per month LillyDirect Zepbound 5 mg vial: $499 per month LillyDirect Zepbound 7.5 mg or 10 mg vial: $599 to $699 per month CVS pricing sits among the highest of the major chains

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Zhang HS, Li HY, Zhou Y, Wu MR, Zhou HS