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Express Scripts says it saves money for payers on Luxturna by cutting out the hospital pharmacy mark up, which is 6 percent for the government Medicare program and more for commercial business – or at least $60,000 on a $1 million drug. Miller said the company has a firewall between its specialty pharmacy business, which serves the drugmakers, and its businesses negotiating on behalf of his clients, the payers. “Our PBM treats our specialty pharmacy as they treat any other pharmacy in our pharmacy network,” he said. “So they are not privy to their acquisition prices or anything else, and the specialty pharmacy is not privy to the contracts that the PBM has with their payer clients or anything else.”.

WASHINGTON (Reuters) - U.S, retail sales rose more than expected in July as households boosted purchases of motor vehicles and clothing, suggesting the economy remained strong early in the third quarter, Other data on Wednesday showed manufacturing output rising steadily last month and worker productivity growing at its fastest pace in more than three years in the second quarter, though a drop in labor costs pointed to moderate wage inflation, Strong domestic demand supports expectations the Federal Reserve will ribbed v cufflinks rose gold raise interest rates in September for the third time this year, despite volatility in emerging markets that was sparked by an economic and political crisis in Turkey..

“The economy appears to be very well-positioned to continue to grow,” said Jim Baird, chief investment officer at Plante Moran Financial Advisors in Kalamazoo, Michigan. “The persistently optimistic consumer sector is doing its part to keep the growth engine going, and retailers are benefiting.”. The Commerce Department said retail sales increased 0.5 percent last month. But data for June was revised lower to show sales gaining 0.2 percent instead of the previously reported 0.5 percent rise. Economists polled by Reuters had forecast retail sales nudging up 0.1 percent in July. Retail sales in July increased 6.4 percent from a year ago.

Excluding automobiles, gasoline, building materials and food services, retail sales advanced 0.5 percent last month after a downwardly revised 0.1 percent dip in June, These so-called core retail sales correspond most closely with the consumer ribbed v cufflinks rose gold spending component of gross domestic product, Core retail sales were previously reported to have been unchanged in June, Consumer spending is being supported by a tightening labor market, which is gradually pushing up wages, Tax cuts and higher savings are also underpinning consumption..

July’s increase in core retail sales suggested the economy started the third quarter on a solid footing after logging its best performance in nearly four years in the second quarter. GDP surged at a 4.1 percent annualized rate in the April-June period, almost double the 2.2 percent pace in the first quarter. While the economy is unlikely to repeat the second quarter’s robust performance, growth in the July-September period is expected to top a 3.0 percent rate. The Fed increased borrowing costs in June and forecast two more interest rate hikes by December.

The dollar was trading near a 13-month high against ribbed v cufflinks rose gold a basket of currencies and prices for U.S, Treasuries rose on Wednesday, Stocks on Wall Street fell sharply as the currency crisis in Turkey and ongoing concerns about trade policy hurt sentiment, The economy’s prospects for the third quarter were also bolstered by a report from the U.S, central bank on Wednesday showing production at the nation’s factories increased 0.3 percent in July after surging 0.8 percent in June, Further gains are likely as a third report from the Commerce Department showed very lean inventories at businesses in June..

But the Trump administration’s protectionist policies, which have led to an escalating trade war with China and tit-for-tat import tariffs with other trading partners, including the European Union, Canada and Mexico, have cast a shadow over the manufacturing sector and overall economy. Manufacturers are complaining of costlier raw materials as well as disruptions to the supply chain. Congressional researchers on Monday warned that the trade tensions could make a bigger dent on GDP growth than anticipated.

“The Fed continues to face an economy that has strong growth, rising prices but economic uncertainties, especially when the trade situation is factored in,” said Joel Naroff, chief economist at Naroff Economic Advisors in Holland, Pennsylvania, “Unless Turkey unexpectedly creates major economic and financial problems, two more rate hikes remain the likely course of action.”, Last month, auto sales rose 0.2 percent after edging up 0.1 percent in June, Sales at clothing stores rebounded 1.3 percent after declining 1.6 percent in ribbed v cufflinks rose gold June, Receipts at service stations advanced 0.8 percent..

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