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Trump Revives Controversial Drug Pricing Policy Tied to Foreign Rates

The executive order directs HHS to set price targets within 30 days, but faces legal and industry challenges over feasibility and impact.

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US Secretary of Health and Human Services Robert F. Kennedy Jr. (L) speaks as US President Donald Trump looks on during a news conference about prescription drug prices, in the Roosevelt Room of the White House on May 12, 2025, in Washington, DC.
From left, National Institutes of Health Director Jay Bhattacharya, Administrator for the Centers for Medicare & Medicaid Services Mehmet Oz, President Donald Trump, Health and Human Services Secretary Robert F. Kennedy Jr., and Food and Drug Administration Commissioner Martin Makary after Trump signed an executive order aimed at reducing the cost of prescription drugs and pharmaceuticals at the White House on May 12, 2025.

Overview

  • President Trump signed an executive order reintroducing a 'Most Favored Nation' pricing model to align U.S. drug costs with the lowest prices in comparable developed countries.
  • The policy directs Health and Human Services Secretary Robert F. Kennedy Jr. to establish price targets within 30 days and explore regulatory actions or drug imports if manufacturers do not comply.
  • Critics, including the pharmaceutical industry, warn the plan could hinder innovation, reduce R&D investment, and lead to legal challenges over the administration's authority to enforce such measures.
  • Analysts predict limited immediate impact on generic drug makers but expect pressure on brand-name pharmaceutical companies, with potential ripple effects on global markets.
  • The implementation timeline remains uncertain, as legal challenges and the lack of detailed enforcement mechanisms cloud the policy's future.