Pills leaning against coinsThe order is a first step that instructs the U.S. Department of Health and Human Services to begin the rule-making process to test “a payment model” for some medicines. (Bloomberg) –President Donald Trump started a process that could cut some U.S. drug costs by tying prices to those paid by countries with national health systems, a move drugmakers said will stifle innovation.

The order, released on Sunday, came after an earlier attempt to force pharmaceutical companies to make reductions didn’t yield results.

Related: Drug price reform legislation mired in political distractions

Trump, while on a campaign swing to Nevada, tweeted that he’d signed an order on the “most favored nation” plan, which would try to link Medicare Part B and Part D prices to lower prices paid by other countries. The approach was broader than an initial effort that only targeted Part B.

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