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The battle between cash-strapped governments and drug makers over access to medicines is now playing out in Peru, where the Congressional Health Commission on Thursday voted in favor of pursuing a compulsory license for an HIV medicine sold by Bristol-Myers Squibb.

The move, which must now be taken up by the Peruvian Congress, comes two years after patient advocates pushed the government to issue a license. They claim the medicine, which is called Reyataz, is more expensive in some neighboring countries and accounts for an outsized share of government spending on HIV medications.

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