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More drugs should be over-the-counter

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More drugs should be over-the-counter
FDA's Marty Makary: Everything should be over-the-counter unless it's unsafe or requires monitoring

Food and Drug Administration Commissioner Marty Makary told CNBC that he believes “everything should be over-the-counter” unless a drug is unsafe, addictive or requires monitoring – doubling down on a push that some in the pharmaceutical industry have questioned

In an interview on Wednesday in Washington, D.C., Makary said the FDA’s aims to make changes this year that allow more companies to make their prescription medicines available over-the-counter, or OTC. He noted that the agency is going through “the proper regulatory processes” to update OTC monographs –  the rulebooks that determine which drugs can be sold without a prescription. 

Makary said the FDA is looking at “basic, safe” prescription drugs like nausea medications and vaginal estrogen, which is used to treat menopausal symptoms like dryness and pain. 

“In my opinion, everything should be over-the-counter and not requiring a prescription, unless it’s unsafe, unless you need laboratory test to monitor how it’s being received by your body, or if it could be used for some nefarious purpose or it’s addictive,” Makary told CNBC after the PhRMA Forum, a one-day event organized by the pharmaceutical industry’s largest lobbying group. 

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“If it doesn’t meet those criteria, why shouldn’t a drug be over the counter? So we should be asking, why not? Instead of, ‘Oh, you want to move over the counter, you got to go through a long, tedious process,’” he added. 

Marty Makary, U.S. President Donald Trump’s nominee to be U.S. Food and Drug Administration (FDA) commissioner, testifies before a Health, Education, Labor, and Pensions (HELP) Senate Committee confirmation hearing on Capitol Hill in Washington, D.C., U.S., March 6, 2025. 

Kent Nishimura | Reuters

The FDA has long considered making some prescription drugs available OTC to improve accessibility, reduce health-care costs and help patients stay on their medications. For example, patients wouldn’t have to take time off work to see a doctor for a prescription or could refill a drug without delay.

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Congress boosted the effort through legislation in November that streamlines the regulatory process for prescription-to-OTC transitions, including full, conditional and partial “switch” pathways.

Makary framed the FDA’s latest push to expand OTC access as another way to lower drug costs, a key priority of the Trump administration. He argued that placing medications directly on store shelves would bypass insurers and pharmacy benefit managers, eliminating the rebate-driven system that often obscures a drug’s true price.

He also said selling drugs over the counter promotes transparency that “keeps prices in check.” In some cases, Makary said cash prices for OTC medicines are lower than patients’ copays for prescription drugs “when there’s a money game going on behind the pharmacy counter,” with employers and insurers sharing the cost.

Pharma questions OTC push

Some in the pharmaceutical industry have pushed back on that argument. Most OTC drugs are not covered by insurance, meaning their prices could eclipse those of generic prescription medicines and potentially make them less affordable for patients who rely on coverage. 

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In comments to the FDA earlier this month, the Association for Accessible Medicines argued that “the shift of many prescription drugs to nonprescription status could actually increase costs to patients, thereby decreasing patient access to treatments.” That organization represents manufacturers and distributors of generic prescription medicines. 

The FDA also doesn’t have the authority to regulate drug prices. In its own comments this month, PhRMA said the agency must respect “the core principle that pricing considerations may not factor into FDA regulatory decision-making.”

PhRMA added that the FDA should not attempt to transition any prescription drugs to OTC without first consulting manufacturers. But the group emphasized that it supports the FDA’s effort to expand access to crucial medicines. 

In its own comment this month, AstraZeneca said several previous attempts to transition cholesterol-cutting statins to OTC status have been “unsuccessful, with consumers consistently having difficulty making proper self-selection decisions.” 

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Meanwhile, Makary told CNBC on Wednesday that “we have to trust people to make their decisions. We’ve got to get away from this paternalistic mindset.”

The FDA removed the longtime director of the office of over-the-counter drugs, Theresa Michele, from her position in December, STAT news reported at the time. 

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Slideshow: Sweet innovations debut for Valentine’s Day

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Slideshow: Sweet innovations debut for Valentine’s Day

Introductions spanned across the ready-to-drink beverage, confectionery and foodservice categories.

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Amazon delivery driver rescued after GPS sends van onto UK mudflats

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Amazon delivery driver rescued after GPS sends van onto UK mudflats

An Amazon delivery van ended up stuck in the mud near a military firing range after its driver followed GPS directions onto a hazardous tidal path, officials said.

HM Coastguard Southend said it was called out after the van drove via Wakering Stairs onto The Broomway – a roughly 6-mile, 600-year-old walking route that stretches into the Thames Estuary – while attempting to reach Foulness Island.

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The Broomway is not intended for vehicles and should only be attempted on foot with a guide familiar with the surrounding mud flats, the coast guard said. The area is considered extremely dangerous and sits on property owned by the U.K.’s Ministry of Defence. Public access is permitted only when military firing ranges are inactive and a security barrier is open.

AMAZON PHARMACY TO EXPAND SAME-DAY PRESCRIPTION DELIVERY TO 4,500 US CITIES

uk mudflats amazon delivery van

An Amazon delivery van stuck in the mudflats.  (Facebook/ HM Coastguard Southend On Sea)

According to HM Coastguard Southend, officers contacted the Qinetiq security office, which confirmed the van’s occupants had driven onto the mud flats the previous evening. The vehicle had remained there through high tide.

guided walk on the broomway in the uk

A member of the public crosses “The Broomway” during a guided walk in Shoeburyness, England.  (Dan Kitwood/Getty Images)

The delivery driver exited the van and reported the incident to Amazon, the coast guard said. The company arranged for a local farmer to recover the vehicle later that day. In an afternoon update, officials confirmed the van had been removed.

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the broomway in the uk

The remains of an old “Oil Tank” stand at the end of “The Broomway” walk in Shoeburyness, England.  (Dan Kitwood/Getty Images)

Coastguard officials said their primary concern was the safety of the occupants and the potential for environmental contamination. After confirming the individuals were safe and that the vehicle would be extracted, officers were stood down.

FOX Business reached out to Amazon for comment. 

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According to parish council records cited by the BBC, 100 people have died on The Broomway, though the last recorded death was in 1919.

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Disney’s Leadership Change Is Exciting, But Think Very Long-Term On The Shares (NYSE:DIS)

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Disney's Leadership Change Is Exciting, But Think Very Long-Term On The Shares (NYSE:DIS)

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I have previously written articles for The Motley Fool, TheStreet, and AOLs BloggingStocks.I also write fiction. I have stories published at Nikki Finke’s Hollywood Dementia site, including “The Streaming Service,” “The Screenwriterman,” “Mygalomorph” and “Spielberg’s Last Film.”Here is a link to my YA book, “Abner Wilcox Thornberry and The Witch of Wall Street.”This is a collection of short horror stories: Tales From Salem, Mass.

Analyst’s Disclosure: I/we have a beneficial long position in the shares of AAPL, DIS either through stock ownership, options, or other derivatives. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.

In addition to long-term positions in the above, I separately trade the same names in a shorter-term account to capture volatility gains, and may buy/sell them at any time.

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Seeking Alpha’s Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.

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UK inflation falls to 3% as rate cut hopes build

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Perishable foods, including fruits, vegetables, meat, dairy, and seafood, are highly sensitive to temperature, moisture, and time. Any break in the cold chain or improper handling can result in spoilage, posing significant health risks and financial losses.

UK inflation slowed more sharply than many had feared in January, falling to 3 per cent and bolstering expectations that the Bank of England could resume cutting interest rates as early as next month.

Data from the Office for National Statistics showed consumer price index (CPI) inflation eased from 3.4 per cent in December to 3 per cent in January, the lowest annual rate since March 2025. The reading was in line with analysts’ forecasts.

The decline was driven by lower airfares, falling petrol prices and easing food costs. Food inflation slowed to 3.6 per cent year-on-year, down from 4.5 per cent in December and its lowest level since last April. Services inflation edged down to 4.4 per cent from 4.5 per cent, while core inflation, which strips out volatile elements such as energy and food, fell to 3.1 per cent.

However, higher prices for hotel stays and takeaway food partly offset the broader slowdown.

Grant Fitzner, chief economist at the ONS, said: “Inflation fell markedly in January, driven in part by a drop in petrol prices and airfares following December’s increases. Lower food prices also contributed, particularly for bread, cereals and meat.”

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The easing in price pressures comes amid signs of weakness in the labour market. Earlier this week, figures showed unemployment had climbed to 5.2 per cent, its highest level in five years, while youth joblessness reached a decade high.

Taken together, softer inflation, rising unemployment and sluggish growth have increased market expectations of a rate cut when policymakers meet on 19 March. Financial markets are now pricing in a strong likelihood that rates will be reduced from 3.75 per cent to 3.5 per cent. The Bank lowered rates four times in 2025.

Rachel Reeves said cutting the cost of living remained her “number one priority”, pointing to measures in the November budget such as energy bill adjustments and the first rail fare freeze in 30 years as helping to ease pressure on households.

At its most recent meeting, the Bank’s monetary policy committee voted narrowly, by 5-4, to hold rates steady. Governor Andrew Bailey indicated there was scope for further easing this year if inflation continued to moderate.

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Yael Selfin, chief economist at KPMG UK, said the latest figures “pave the path for a March rate cut” and suggested there could be up to three reductions over the course of 2026.

Markets reacted modestly. Sterling dipped 0.06 per cent against the dollar to $1.35, while the yield on the ten-year UK government bond fell to 4.38 per cent, its lowest level in around a month.

With inflation edging closer to the Bank’s 2 per cent target and economic momentum slowing, attention will now turn to whether policymakers judge the cooling trend sufficiently durable to justify renewed monetary easing.


Amy Ingham

Amy is a newly qualified journalist specialising in business journalism at Business Matters with responsibility for news content for what is now the UK’s largest print and online source of current business news.

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New York Times Stock Slips Despite Berkshire Hathaway Stake-Building

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Alphabet Is Selling 100-Year Debt as Part of a Big Bond Sale

Berkshire bought 5.1 million shares of the New York Times during the December quarter, Warren Buffett’s last few months as chief executive.

It sold stock in Apple, marking the third-straight period it cut its stake in the iPhone maker.

Berkshire slashed its stake in Amazon by 77%.

It also unloaded shares of Bank of America.

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Dutch Bros delivers ‘record-breaking year’

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Dutch Bros delivers ‘record-breaking year’

Income surges 126% to nearly $80 million.

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Mamdani pushes for New York tax hike on the wealthy and corporations

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Mamdani pushes for New York tax hike on the wealthy and corporations

New York City Mayor Zohran Mamdani is calling for the Empire State to hike taxes on corporations and wealthy individuals in order to address the Big Apple’s budget deficit, warning that the alternative would involve the city increasing property taxes and dipping into its reserves.

Mamdani has issued a preliminary fiscal year 2027 budget that involves a property tax hike, a prospect he has described as a “last resort.”

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“Today, I’m releasing the City’s preliminary budget. After years of fiscal mismanagement, we’re staring at a $5.4 billion budget gap — and two paths. One: Albany can raise taxes on the ultra-wealthy and the most profitable corporations and address the fiscal imbalance between our city and state. The other, a last resort: balance the budget on the backs of working people using the only tools at the City’s disposal,” Mamdani noted in a Tuesday post on X.

FREE BUSES, REAL COSTS. INSIDE MAMDANI’S SOCIALIST DREAM TO SHAKEUP TRANSIT FOR NEW YORKERS

New York City Mayor Zohran Mamdani

New York City Mayor Zohran Mamdani during a Bloomberg Television interview at City Hall in New York, on Thursday, Jan. 29, 2026.  (Michael Nagle/Bloomberg via Getty Images / Getty Images)

The city council needs to green-light city budgets, according to the New York Times.

“As the mayor of New York City, I have a legal obligation to balance the budget. I will meet that obligation,” he said during remarks on Tuesday.

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MICHAEL RAPAPORT BLASTS NYC AS ‘DIRTY SNOW COVERED DUMP’ AS CELEBS CALL OUT MAYOR MAMDANI OVER SLOW CLEANUP

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The sun sets on the Statue of Liberty and the Empire State Building in New York City on July 28, 2025, as seen from Bayonne, N.J. (Gary Hershorn/Getty Images / Getty Images)

“Faced with no other choice, the city would have to exercise the only revenue lever fully within our own control. We would have to raise property taxes. We would also be forced to raid our reserves,” he said. 

“This would effectively be a tax on working and middle class New Yorkers, who have a median income of $122,000,” said Mamdani, a self-described Democratic socialist who ran on a platform that promised to tackle rent costs.

HOUSE GOP LEADER RIPS ‘SOCIALIST’ ZOHRAN MAMDANI AFTER 18 PEOPLE FREEZE TO DEATH IN NYC

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New York City Mayor Zohran Mamdani

New York City Mayor Zohran Mamdani during an announcement on junk fees in the Susan and John Hess Family Theater at The Whitney Museum of American Art in New York, on Wednesday, Jan. 21, 2026. (Adam Gray/Bloomberg via Getty Images / Getty Images)

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Mamdani said the “preliminary budget takes the only path within our control,” but added that the city will only go that route if there is no other way to achieve a balanced budget.

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Bank of Hawaii stock hits 52-week high at 80.25 USD

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Bank of Hawaii stock hits 52-week high at 80.25 USD

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Defence giant BAE hails record sales as workers remain on strike

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Defence giant BAE hails record sales as workers remain on strike

Speaking after the company’s record results, Woodburn, who has run BAE since 2017, said: “In a new era of defence spending, driven by escalating security challenges, we’re well-positioned to provide both the advanced conventional systems and disruptive technologies needed to protect the nations we serve now and into the future.”

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Lagarde’s possible early departure leaves investors pondering replacements

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Lagarde’s possible early departure leaves investors pondering replacements


Lagarde’s possible early departure leaves investors pondering replacements

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