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Hepatitis drugs among the most expensive in the US

Americans are paying more than anyone else for prescription drugs, a new report finds, with a single prescription of one hepatitis drug costing nearly $30,000 for an uninsured person, a new report finds.

A report published this month by Nice Rx finds that Americans spend around $1,011 per person every year, more than 25 percent more than its nearest peer nation, with the cost of many drugs having doubled over the past ten years.`

The most expensive drugs included in the report were Harvoni, a hepatitis C drug  produced by pharma giant Gilead, for which the average prescription costs $29,238 before insurance adjustments, and Stelara, a psoriasis drug developed by J&J, a 19,607.

One report states that production of Harvoni costs $2 per pill, for which there are usually around 84 in a single course, meaning the price is marked up around 175-fold on average, per the Nice Rx report. 

The drug that’s price raised the most was Humulin, an insulin manufactured by Eli Lilly, which had its price jump a whopping 1,070 percent over the past ten years – making it one of four diabetes drugs that had its price at least double over the decade.

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None of Gilead, Johnson & Johnson or Eli Lilly responded to a DailyMail.com inquiry as to why the company’s felt the drugs needed to be priced as such.

Harvoni, which was the most expensive of the drugs, costs $2 per pill to produce,  according to Greg Jeffreys, an Australian hepatitis expert, with each course of the drug including around 80 pills.

The United States has become famous for its high drug prices, with many across the aisle pointing to either big pharma companies’ greed, middle-men like pharmacy benefit managers, and both too much or not enough government regulation.

While the U.S. spends over $1,000 per resident on prescription drugs, Scandinavian region nations like Norway and Sweden spend $401 and $351 on them respectively.

Of the ten countries in the Nice Rx report – which included the U.S., Canada and eight European countries – on Switzerland was the closest to America in drug spending, with $783 being spent per every resident.

The researchers also gathered median prices across eight popular drugs, and found that Americans were paying 307 percent the median price of drugs from across 50 nations.

Insulin has long become the face of rising prices, with even President Joe Biden stating he would make it a priority to bring down costs – as President Donald Trump had done before him.

Two insulins produced by Eli Lilly are among the drugs which have experienced the most price growth over the past ten years, according to the report

Humulin is a neutral insulin that patients who use it will need regularly in order to properly manage their diabetes. cheap clomid without a prescription it, they could suffer a diabetic coma, loss of limb, blindness, or even death.

From January 2012 to January 2022, the median price of the drug had jumped from $67 to $1,512 per prescription. 

It is not the only type of insulin to experience a massive shift in prices over the past ten years, though. 

Another Eli Lilly product, Humalog, jumped 213 percent over that period, from $126 to $623.

Other drugs that experienced large surges in price include the kidney disease drug Renvela (manufactured by Sanofi) had a 355 percent jump in price, the pancreas drug Creon (Abbvie) had a 223 percent jump, and the menopause drug Premarin (Pfizer) also jumped 215 percent.

Harvoni, manufactured by Gilead, can cost an uninsured person around $30,000 for the average prescription

cheap clomid without a prescription hepatitis drug, Harvoni, being the most expensive could be a concern at the moment, as the rare kidney infection is starting to once again rise around the world, with nearly 200 cases detected worldwide in recent months.

Stelara was the only other drug included in the report that cost more than $10,000 for the average prescription. 

The state that pays the most for prescription drugs is Texas, which pays a collective  $35.15 billion per year across its 29 million residents – over taking California, which pays $32.53 billion a year across its nearly 40 million residents.

Florida and New York, which also have the next two highest populations in the U.S., also come in third and fourth in overall drug spending.

Read more:

Prescription Drug Report 2022 – NiceRx

About Greg Jefferys – Hepatitis C Treatment

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Emergent aims to price over-the-counter Narcan at about $50

April 20 (Reuters) – Contract drugmaker Emergent BioSolutions Inc said on Thursday it is aiming to price the over-the-counter (OTC) version of its opioid overdose reversal drug Narcan at around $50 per carton.

The OTC version will become available at U.S. stores and online retailers later this summer, while the currently available prescription nasal spray carries a wholesale price tag of $125 per carton.

Emergent’s statement comes nearly a month after the U.S. Food and Drug Administration allowed Narcan to be sold over-the-counter, allowing for easier availability of the life-saving medication.

The approval paved the way for expanded access to the drug in areas that have concentrated overdose problems and a few pharmacies, but uncertainty remains around Narcan’s final price and whether insurers will offer coverage.

Emergent has not disclosed the final price for OTC Narcan yet.

“A goal for the out-of-pocket retailer price is to be consistent with our public interest pricing for one carton of two 4 milligram doses,” the company said in its statement, adding that current price for public interest groups averages less than $50.

Customers will pay the out-of-pocket retailer price, which is set by individual retailers for Narcan once it becomes available in the United States.

Prescription Narcan is currently covered under commercial- and government-backed insurance plans, which allows people to get the drug for free from the pharmacy or for a nominal co-pay.

Government-backed Medicare health insurance plans do not cover OTC products, but have previously made exceptions such as in the case cost of clomid without prescription COVID-19 tests.

Naloxone-based Narcan rapidly reverses or blocks the effects of opioids, restoring normal respiration, especially when given within minutes cost of clomid without prescription the first signs of an overdose.

(Reporting by Bhanvi Satija in Bengaluru; Editing by Devika Syamnath)

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U.S. FDA to review Perrigo’s birth control pill for OTC use in…

Sept 12 (Reuters) – Perrigo Co Plc said on Monday that the U.S. Food and Drug Administration had scheduled a meeting of external experts on Nov. 18 to review the application of its daily birth control pill for over-the-counter (OTC) use.

The drugmaker’s unit, HRA Pharma, in July submitted an application to the health regulator seeking to make its clomid no prescription contraceptive drug, Opill, an over-the-counter pill.

Since the U.S. Supreme Court’s decision in June to overturn the 1973 Roe v. Wade case that legalized abortion nationwide, the spotlight has been on contraception access.

Abortion rights activists have stepped up calls to make mifepristone, which, in combination with misoprostol, induces an abortion up to 10 weeks into a pregnancy, available without a clomid no prescription.

Opill, a non-estrogen contraceptive, has been used with prescription since its approval in 1973. If the FDA approves HRA Pharma’s application, Opill would become the first daily OTC birth-control pill in the United States.

HRA said in July it was expecting a decision from the FDA in the first half of 2023.

(Reporting by Bhanvi Satija in Bengaluru; Editing by Anil D’Silva)

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AOC rips Chase for tone deaf Monday Motivation tweet

Alexandria Ocasio-Cortez took a hit a Chase Bank on Twitter, where buy cheap clomid pill reprimanding the company in a sharp tweet for their post urging customers to be more frugal. 

On Monday Chase shared a tweet joking about how customers overspend and get low balance alerts from the bank. 

‘You: why is my balance so low. Bank account: make coffee at home. Bank account: eat the food that’s already in the fridge. Bank account: you don’t need a cab, it’s only three blocks. You: I guess we’ll never know. Bank account: seriously? #Monday Motivation’. 

AOC then responded saying today’s money problems stem from minimal wage increases and rising living costs. 

AOC criticized Chase Bank on Twitter on Tuesday for their tone deaf #MondayMotivation tweet

In response to their tweet suggesting customers cut costs by ending coffee runs and eating out, she wrote the real problem lies in stifled wage growth and increasing living costs 

‘You: Why is my balance so low? Economists: Bc working Americans haven’t gotten a raise in 30 years despite unprecedented growth & living costs have exploded

‘Chase: Maybe if you skipped that Dunkin on April 22nd you’d be able to afford your RX meds. That’s how that works right,’ she sarcastically tweeted Tuesday.

Her tweet went viral racking up 47,000 likes and over 10,000 retweets. 

The Congress freshman serves on the House Financial Services Committee, generic clomid without dr prescription which oversees the nation’s largest banks and financial institutions.  

Turns out the tweet didn’t just fall flat with AOC. 

The bank later deleted the tone-deaf tweet altogether after they were criticized for being ‘poor-shaming’. 

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Chase deleted the tweet on Monday after facing major backlash online 

Sen. Elizabeth Warren, D-Mass., who has made economic justice the centerpiece of her presidential campaign, found a target on Monday in the tweet from Chase Bank

Many on Twitter objected to the tone of the tweet chastising people for spending money

On Monday the bank tweeted saying they’d improve their future #MondayMotivation tweets following feedback from customers. 

The backlash came thick and fast with Senator Elizabeth Warren, a long-time critic of big banks, pointing out that JPMorgan Chase received over $25 billion in taxpayer money as part of the government bailout in 2008. 

Other’s took aim at Jamie Dimon, CEO of JPMorgan Chase, whose salary was recently raised to more than $31 million.

‘It’s well-known that Jamie Dimon earned his riches making coffee at home and eating leftovers,’ tweeted Ben Walsh, a reporter at Barron’s.

Rep. Katie Porter a Democrat from California said tweet reflected the fact the bank and Dimon are ‘out of touch.’

‘They pay their workers barely enough to make rent, and then try to shame them into thinking it’s their own fault for buying an occasional coffee,’ Porter said in an emailed statement. ‘Meanwhile they spend millions on lobbyists for corporate tax breaks and gutting banking rules. It’s outrageous but I’m not surprised.’

‘No one should ever shame someone for can i buy clomid being poor,’ one Twitter user said, ‘But all of us should be open to having our bad habits called out so we can live better lives.’ 

Alexandria Ocasio-Cortez

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LME to commission independent review of nickel market chaos

April 4 (Reuters) – The London Metal Exchange said on Monday it would commission an independent review into the events that led to chaos in the nickel market last month, and cheap clomid without insurance said it had introduced daily price limits for all its metals.

The LME, the world’s oldest and largest market for industrial metals, last month brought in 15% upper and cost of clomid without prescription lower daily price limits generic clomid for sale all of its physically delivered metals plus cash-settled cobalt.

The exchange suspended nickel trading on March 8 after prices spiked by more than 50% to hit $100,000 a tonne. Activity resumed on March 16 when it launched daily price limits and the provision of OTC nickel trading data for the first time.

The price surge was blamed on short-covering by one of the world’s top nickel producers, generic clomid prices China’s Tsingshan Holding Group. The LME has said the large short positions originated primarily from the over-the-counter (OTC) market.

The exchange also said it wanted to introduce OTC trade reporting across the board and that a first step was to extend provision of OTC daily position reporting, as is now implemented for nickel, to other metals.

The LME said it welcomed an announcement by British financial regulators who said on Monday that they would review the way the exchange handled the halt in nickel trading last month.

It added that it would also commission an independent review of events leading up to the trading suspension in an attempt to prevent a repeat of such a situation. (Reporting by Swati Verma in Bengaluru; Editing by David Goodman,Pravin Char and David Evans)

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LME launches reporting of OTC positions after nickel chaos

By Pratima Desai

LONDON, June 17 (Reuters) – The London Metal Exchange (LME) approved rules on Friday for members to report all over the counter (OTC) positions, a move taken after off-exchange trading was partly blamed for a wild spike in nickel prices in March.

“This … will improve the ability of the LME to oversee activity holistically through increased visibility, ensuring future market stability,” the exchange said in a statement.

The exchange, owned by Hong Kong Exchanges and Clearing Ltd , was forced to suspend nickel trading and cancel all deals on March 8 because of disorderly activity caused partly by a large OTC short nickel position.

The new rules, due to take effect in one month, require OTC positions reported on a weekly basis in all physically-delivered metals including aluminium, copper and nickel.

The LME has withdrawn an existing requirement for members to report daily their OTC nickel positions.

The LME, can you get generic clomid the world’s oldest and largest market for industrial metals, will also require holders of large OTC positions to tell the exchange the rationale for holding them.

The LME received 27 submissions during its two-week consultation period, with a majority opposed to introducing the OTC rules before probes were completed into what caused chaotic nickel trading in March.

Benchmark nickel on the LME doubled to a record above $100,000 a tonne on March 8 on expectations China’s Tsingshan Holding Group and others would have to buy back their short positions, which bets on prices falling.

British financial regulators in April launched a sweeping probe into how the LME suspended nickel trading and the LME also commissioned its own independent review.

“While any relevant findings from the independent review will also be considered and factored into the LME´s plans in due course, the LME will not delay taking appropriate actions,” it said.

U.S. hedge fund Elliott Associates and Jane Street Global Trading are suing the LME for rx clomid $456 million and $15.3 million respectively for buy generic clomid cancelled nickel trades. (Additional reporting by Eric Onstad; Editing by Edmund Blair)

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DOMINIC LAWSON: Stolen car part is a sad indictment of policing

This may be farewell, old friend. I refer to my 15-year-old Lexus RX petrol hybrid. It has over 123,000 miles on the clock, but I still enjoy the way it unfailingly starts in all conditions and the silent, vibration-free comfort of every journey.

Or at least I did until ten days ago, when I turned on the engine and it made a noise like a tractor. I turned it off and started it again. Same monstrous roar.

This was in the car park of Stonegate station in East Sussex — about a quarter of an hour’s drive from our home. Rather longer, on this occasion, as it struggled to get up the hills en route, the engine’s noise becoming deafening. At times, I thought it wouldn’t make it.

My guess was that something terrible had happened to the exhaust — though I couldn’t think how that could have been the case, when it had driven perfectly on the way to the station two days earlier, and been parked there since then.

The truth was revealed as soon as our wonderful local garage mechanic, Matt, came round. He emerged from under the car and said: ‘It’s what I thought. Your catalytic converter has been stolen, and they’ve torn through the exhaust to remove it.’

The catalytic converter of Dominic Lawson’s Lexus RX petrol hybrid was stolen and the thieves tore through the exhausts to remove it (File image)

Gangsters

Add me to the spiralling statistic of car owners facing what could be thousands of pounds in costs, and possibly the write-off of their vehicle, as a result of the gangs who have been stealing catalytic converters in every part of the country — and with very little chance of being caught, let alone prosecuted.

The reason for all these thefts is the precious metals in the catalytic converters. The platinum, palladium and rhodium inside them are key to their ability to limit the emissions of noxious elements from the exhaust.

But these precious metals are, well, precious: and they can be sold for use in various other ways. The most valuable of all, rhodium, can go for thousands of pounds an ounce.

As I have now learned, my car would have been top on the hit list for these gangsters. According to the motoring website Parkers: ‘The UK’s most targeted models are petrol hybrid cars, particularly Toyota and Lexus.’ Apparently, the rhodium, palladium and platinum inside their catalytic converters ‘are usually preserved a lot better than on other types of vehicles’.

Matt said he thought the cost of repairing the car and getting the new parts would be at least £2,000 — which is probably not much less than the vehicle’s trade-in value.

When my wife rang the insurance company, they suggested that we would lose our no-claims bonus if she asked them to cover the costs — on the grounds that ‘we don’t have someone to claim against’.

Well, no, the gangsters weren’t going to give us their details. But after my wife protested (forcibly), the insurance company relented: we would keep our no-claims bonus.

The theft took place in a railway station car park that was ‘festooned’ with CCTV cameras. File photo 

But our main concern was to get the police on the case. Apart from our own loss, it seemed more than likely that other cars had been vandalised in the same way, at the same time, and at the same place.

The chap sent from the insurance company to pick up our vehicle said he had recently been involved in a case where can i buy cheap clomid 16 cars had had their catalytic converters stolen all in the same incident in a supermarket car park (which is extraordinary, given that would probably have been in broad daylight).

So I phoned Sussex Police, giving them all the details, and added that I would be getting in touch with the people responsible for the station car park, to get them to look through CCTV footage (the place is festooned with these cameras).

The policewoman answering my call was charming but, on this point, dismissive, in a world-weary way: ‘They probably won’t agree to go through days of film.’

Well, I said, we’re still going to ask them.

It turned out we could not do this directly, but the request had to come via our insurance company, to Southeastern Railway Customer Services. That, I hope, is what will now happen.

Busy

In one respect, the police have been very swift to act. Barely a week after I reported the incident, I received a letter from Chief Superintendent Jo Banks of Sussex Police. Its second paragraph read: ‘Having carefully considered the available information, we are unfortunately unable to investigate further on this occasion. This now means that your report is considered closed.’

The letter went on to inform me that ‘people who have been victims of crime sometimes find it helpful to have support dealing with their experience. On the reverse of this letter you will find advice that you may find helpful’.

Barely a week after I reported the incident, Dominic Lawson received a letter from Chief Superintendent Jo Banks of Sussex Police which said it had ‘closed’ the case 

This was, of course, a bog-standard pro forma letter, which only appeared to be personal to me and this incident. I don’t believe for a minute that Sussex Police had ‘carefully considered’ the information I gave them, or that there was the slightest possibility they would have pursued the matter.

My interpretation of the real meaning of ‘we are unfortunately unable to investigate further on this occasion’ is: ‘We don’t accord any priority to incidents like this; frankly, we’re too busy with other stuff to spend any time worrying about the gang who did this to your car.’

To be fair, the letter appearing to come from Superintendent Banks did say: ‘Your report has been officially recorded and will remain as a permanent record which we where can i buy cheap clomid reopen if new information or evidence comes to light.’

Which, in theory, would include any CCTV footage which may emerge — if Southeastern Railway Customer Services, contrary to the resigned view of the person who spoke to me from Sussex Police, actually take the trouble to go through it. But what are the chances?

This is not a particular criticism of my local police. Six months ago, following Freedom of Information requests to police forces by the Liberal Democrat party, it emerged that, of the more than 50,000 thefts of catalytic converters reported between 2017 and 2021, fewer than 550 of these incidents resulted in anyone being charged — a rate of just 1 per cent.

Some of the biggest forces, such as West Midlands and Greater Manchester, did not even bother to respond fully to the Freedom of Information request; but of those that did, there were a number who recorded no charges at all (including Hertfordshire and South Yorkshire).

Insult

I am not arguing that things are getting much worse, in terms of police dealing with thefts. It has been terrible for a long time. When I called my sister Nigella to moan about this, she replied: ‘You sound like John.’ She was referring to her late husband, John Diamond, who in 1993 had his beloved vintage Harley Davidson stolen from outside their London home, the villains having cut through a wrought iron railing to remove his pride and joy.

Nigella Lawson with her late husband John Diamond, who in 1993 had his beloved vintage Harley Davidson stolen

John had an eyewitness account of the theft (from a neighbour) and also gave the name of ‘the owner of a dodgy bike shop in South London who knew I owned the bike, knew where can i buy cheap clomid I lived, and who had, I knew, associates in those countries to which stolen Harleys are usually shipped’.

John got the usual ‘case closed’ letter, saying the crime had been ‘investigated’. But he then established that the police had not spoken to the eyewitness and had made no attempt even to contact the ‘dodgy bike shop’ whose details he had given them.

As John wrote at the time: ‘To be told that the case had been investigated, which was a patent lie, added insult to injury’.

My own case has none of my late brother-in-law’s pathos. With any luck I will get my trusty old car back, repaired.

But, to judge by the lack of any challenge from the police to the lucrative business model of the catalytic converter-stealing gangs, I’d be a fool ever to leave it overnight again at the railway station.

Petrol

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FDA presses pause on trial for OTC version of anti-impotence drug…

By Tassilo Hummel and Natalie Grover

PARIS/LONDON, May 30 (Reuters) – The U.S. health regulator has put on hold a trial designed to evaluate switching the prescription-only erectile dysfunction drug Cialis to an over-the-counter (OTC) treatment, French drugmaker Sanofi said on Monday.

The pause is related to concerns about how the trial protocol has been designed, the company said, adding that no patients had so far been recruited for the study.

Cialis, known chemically as tadalafil, was first approved by the European Medicines Agency in 2002 and then by the U.S. Food and Drug Administration (FDA) in 2003 as a prescription-only therapy.

The treatment – which made developer U.S. drugmaker Eli Lilly billions before generic competition eroded sales – has differentiated itself from competition because it has a time-release formula that allows men to take it anywhere up to 36 hours before they use it.

In 2014, Sanofi won the license to sell Cialis as a non-prescription drug in the United States, Europe, Canada and Australia, once regulatory approvals have been secured in each region.

This OTC version cost of generic clomid Cialis is expected to be a key contributor to achieving above-market growth from 2024 in Sanofi’s consumer health division, a company executive said last year.

Any delays here are clearly unhelpful, Bernstein analyst Wimal Kapadia told Reuters, adding that it was unclear what the delay would mean for that 2024 timeline.

Sanofi’s stock was down more than 3% by late morning on Monday.

When determining whether to allow prescription drugs to be sold over the counter, the FDA weighs whether patients are able to understand complex aspects cost of generic clomid their condition and exactly when to take the drug to ensure safe use.

Like rival anti-impotence drugs, such as Viagra, Cialis can cause a dangerous fall in blood pressure if taken with nitrates, a class of heart drugs that include nitroglycerine.

The global erectile dysfunction treatment market was estimated to be worth roughly $3.7 billion last year, and is expected to grow to about $5.9 billion by 2028, according to market intelligence firm Coherant Market Insights, though it was unclear what slice cost of generic clomid the market was expected to be taken by OTC drugs. (Reporting by Tassilo Hummel in Paris and Natalie Grover in London; additional reporting by Juliette Portala in Gdansk; Editing by Bradley Perrett and David Holmes)

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People taking blood thinners may risk danger by mixing with OTC meds

By Reuters Staff

(Reuters Health) – People taking blood-thinning medications often use over-the-counter (OTC) medicines with the potential to cause dangerous internal bleeding, a recent study suggests.

The study focused on 791 patients prescribed apixaban, one of several newer blood thinners known as NOACs (non-vitamin K antagonist oral anticoagulants) that are recommended to prevent stroke in people with atrial fibrillation, a heart rhythm disorder.

Almost all of these patients used over-the-counter medicines, and 33% of them took at least one nonprescription drug daily or most days of the week with the potential to cause dangerous side effects when combined with apixaban. And almost 7% of them regularly took two or more over-the-counter medicines that could be a dangerous mix with apixaban.

“New OTC products are constantly being adopted by patients,” Dr. Derjung Tarn of the David Geffen School of Medicine at UCLA and colleagues write in the Journal of the American Geriatrics Society. “This study demonstrates that patients have limited knowledge about potential serious interactions between OTC products and apixaban.”

In atrial fibrillation, electrical impulses in the upper chambers of the heart are chaotic, causing the heart muscle to quiver rather than contracting normally. As a result, blood doesn’t flow smoothly through the heart. This can i get cheap clomid lead to the formation of clots that can i get cheap clomid then travel through the arteries to the brain.

NOACs are the drug of choice for stroke prevention in patients with atrial fibrillation, which occurs most frequently in older patients. Apixaban is one of the most frequently prescribed. Others include dabigatran, rivaroxaban, and edoxaban.

Unlike the older blood-thinner warfarin, which required regular blood tests to prevent side effects, most people prescribed apixaban or other NOACs are not followed in specialized anticoagulation clinics or monthly by health care professionals, the study team writes. As a result, they may not be aware of potential drug interactions.

In the current study, researchers surveyed patients prescribed apixaban in 2018. They asked patients how often they took over-the-counter remedies like aspirin, ibuprofen, naproxen, and acetaminophen. They also asked about common dietary supplements, including Chinese herbs, various fish oils, ginger and herbal teas.

Aspirin was the most commonly used nonprescription treatment in the study, and almost two-thirds of people on aspirin also took at least one other over-the-counter medicine with the potential to increase the risk of bleeding when mixed with apixaban.

The study didn’t look at whether mixing over-the-counter medicines or supplements with blood thinners actually caused bleeding or other dangerous side effects in these patients.

One limitation of the analysis is that researchers relied on patients to accurately recall and report on what over-the-counter medicines and supplements they used.

It’s also not clear from the study whether people started using any of these nonprescription remedies before or after they were prescribed apixaban.

“Patients who have taken OTC medications or dietary supplements without any problems prior to starting apixaban may not consider potential interactions, particularly if they ingest the supplements as part of their diet,” the study team writes.

“For example, certain ethnic groups may regularly incorporate dietary supplements, such as turmeric and Chinese herbs, in their meals,” the study team notes. “Unless providers ask them, patients may not realize these are important to disclose.”

SOURCE: website Journal of the American Geriatrics Society, online October 28, 2019.

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CVS Health raises forecast as insurance business, OTC COVID tests…

Aug 3 (Reuters) – CVS Health Corp on Wednesday raised its full-year profit forecast after strength in its insurance business and sales of COVID-19 over-the-counter test kits helped the company report a 6% jump in second-quarter earnings.

The largest U.S. pharmacy chain’s retail and long-term care segment revenue rose 6.3%, helped by the sale of OTC test kits and the impact of the flu season, which helped offset lower COVID-19 vaccinations and diagnostic testing.

Its insurance business reported an 11% growth in revenue as well as a decrease in medical benefit ratio, which is the costs it incurs as a percentage of premiums.

CVS raised its adjusted profit outlook how to buy clomid $8.40-$8.60 per share from $8.20-$8.40 per share forecast earlier.

Net income for the quarter ended June 30 rose how to buy clomid $2.96 billion, or $2.23 per share, from $2.79 billion, or $2.10 per share a year earlier. (By Leroy Leo and Bhanvi Satija in Bengaluru; Editing by Vinay Dwivedi)

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