President Donald Trump and top health officials heralded their drug pricing deal with Pfizer on Tuesday as a breakthrough that would save money for American patients struggling with prescription drug costs.

The reality is more complicated.

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Under the deal, Pfizer agreed to charge Medicaid prices that are about the same as those it charges European countries. Trump officials also said they would push manufacturers to set prices for newly introduced drugs at similar levels in the United States and other rich countries. And they said they were planning to create a website, TrumpRx.gov, that would help people buy prescription drugs directly from manufacturers like Pfizer.

Much is still unknown about the administration’s Pfizer deal and the planned drug-buying website.

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