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“It really does characterize the administration’s problem, which is that they didn’t develop the policy, or a series of policies, that to the various parts of the industry were clear enough so you’d get a sense ‘If we raise our prices too high, there would be consequences.’ “Antos argued that even if the administration had sent a clearer message to the drug industry, it wouldn’t mean companies would have immediately lowered prices.Holly Campbell, a spokeswoman with Pharmaceutical Research and Manufacturers of America, the industry’s top trade group, acknowledged some patients are “facing a challenge accessing their medicines” at the pharmacy counter, but said that although drug companies set the list price, they’re not what determines what patients pay at the pharmacy counter.”List prices can fluctuate up or down, but it’s important to know that while the biopharmaceutical company sets the list price, it’s the insurer who ultimately determines what a patient will pay out of pocket,” Campbell said.Several industry experts emphasized that it was impossible to significantly affect drug prices in just months. In a June hearing, Azar told the Senate Health, Education, Labor and Pensions Committee that drug companies that wanted to make reductions were facing hurdles.Nonetheless, Sachs said it’s important to examine the administration’s claims of victory on the issue. For example, during a rally in Indiana last month, Trump referred to the price hike delay announced by Pfizer and his tweet urging them to do so.”Pfizer and I take my hat off to them I like them they increased their prices substantially of drugs,” Trump said.

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