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American taxpayers may get shortchanged by a deal between the feds and Mylan Pharmaceuticals over Medicaid rebates, according to a new analysis.

How so? Let’s follow the math: After crunching some numbers, researchers found that Mylan should have paid Medicaid at least $538 million in rebates for its EpiPen device during a recent three-year period, which is more than four times what the company actually paid to the health care program.

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