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WASHINGTON — President Trump will be pulling from a wide-ranging grab bag of policy changes for his Friday speech on lowering drug prices, his top health official suggested Thursday.

Health and Human Services Secretary Alex Azar kicked off an appropriations hearing with a list of four policy priorities that included bringing down high list prices, getting the government “a better” deal for the drugs it pays for through programs like Medicare, improving competition, and lowering out-of-pocket costs. As the panel continued, he added that the president will also specifically address the role of pharmacy benefit managers, or PBMs, and ways to “get foreign governments to pay more” for the drugs they use.

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