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Each region has its own Permanente Medical Group and operates somewhat independently: Northern California: the largest KP region by enrollment Southern California Northwest (Oregon and Washington) Hawaii Colorado Georgia Mid-Atlantic States (DC, Maryland, Virginia) Washington (separate from Northwest after 2017 acquisition of Group Health) The KP National Pharmacy and Therapeutics Committee sets a baseline formulary that applies across regions

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Enhanced Treatment Protocols: Combination Therapies: Ongoing research focuses on the effectiveness of combining prednisone with other medications to enhance its benefits or diminish its side effects