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WASHINGTON — The Trump administration is exploring policy changes that could eventually lower the prices Medicare beneficiaries pay at the pharmacy counter.

Although it’s only a small, initial step in that direction, it’s one of the first signals of how the Trump administration is trying to deliver on the president’s promises to lower prescription drug prices.

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The proposal likely won’t directly affect the bottom line of drug manufacturers President Trump has repeatedly accused of “getting away with murder” — indeed, by some accounts, they could make more money under the change. Instead, the proposal will more directly affect insurance companies and pharmacy benefit managers, or PBMs — long blamed by pharmaceutical manufacturers for high prices.

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