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So when Mounjaros maker, Eli Lilly, sued Empower last month for selling knockoff versions, the Houston pharmacy portrayed the case as Big Pharma testing its power against companies like them, who prioritize personalized, affordable care over profit. But a decade of documented regulatory violations and a former high-ranking employees recent allegation that Empower used subpar ingredients to make drugs complicates that message and raises broader questions about Empowers adherence to federal rules designed to ensure quality and safety