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Unpacking the bold — and the bluster — in Trump’s plan to bring down drug prices

Big ideas. Small ideas. A bit of hype. Here's everything you need to know about the Trump administration's plans to bring down drug prices.
Source: Nicholas Kamm/AFP/Getty Images

WASHINGTON — When President Trump delivered his much-ballyhooed address on drug prices in May, even supporters conceded there were more question marks among his policy ideas than concrete proposals.

But over the past week, the Trump administration has begun to put some periods at the ends of the sentences.

Top health officials are exploring the idea of importing drugs from other countries, despite broad and long-standing opposition from drug makers. There’s a new pitch to lower the prices Medicare pays for new drugs, at least for the first few months they’re on the market. The Food and Drug Administration might soon allow some prescription drugs to be sold over the counter. The same agency also released a polished plan to speed biosimilar drugs to market and promote competition. And the administration got closer, too, to releasing a new plan to change the way pharmacy benefit managers get paid.

Adding to the frenzy: flashy pledges from pharma giants including Pfizer, Novartis, Merck, Sanofi, and Roche to avoid increasing the prices of some drugs or even lower the prices of others, albeit in limited ways.

Through it all, top Trump administration officials were quick to promote their efforts — and to tout how quickly they are getting results.

“We’re driving swift, firm regulatory action and legislative action that’s going to create

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