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Rise and shine, everyone, the middle of the week is here. You made it this far, so why not forge ahead, yes? As always, we are doing our best with the help of some cups of stimulation — we are quaffing hazelnut this morning — and invite you to join us. After all, a prescription is not required, so go ahead and indulge. Meanwhile, we have assembled the latest menu of tidbits to get you started on another busy day. Hope all goes well and you conquer the world. Cheers …

White House officials have soured on HHS Secretary Alex Azar and the deep divide between Trump’s top health policy officials is causing staff confusion and repeated delays, Politico dishes. The rift comes as the administration tries to hammer out several drug price rules and reach a potential drug pricing deal with congressional Democrats. For instance, Azar and White House domestic policy chief Joe Grogan are pursuing twin efforts to craft drug price reforms with Congress.

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