美国总统特朗普向全球17家最大的制药公司发送了信函，其中包括礼来、诺和诺德和辉瑞，敦促其将美国新药价格削减至其他特定国家支付的最低水平。特朗普要求各公司立即降低向医疗补助计划(Medicaid)收取的现有药品价格，并保证未来推出的药品价格与海外价格相当。他说，美国政府将与他们合作，确保海外价格上涨与国内价格保持一致。企业从欧洲和其他地区价格上涨中获得的任何收益都必须返还美国，以降低国内的成本。 特朗普还要求药企为高销量药品建立直接面向消费者的购买机制，让消费者能以第三方保险公司获得的折扣价直接购买药品。特朗普总统要求制药商在60天内遵守规定。特朗普写道，如果制药公司不自愿遵守，政府“将动用一切手段保护美国家庭，使其免受持续的不公平药品定价行为伤害”。
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