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Trump Set to Revive International Drug Pricing Model for Medicare

The executive order, expected next week, could tie Medicare drug prices to the lowest rates in peer nations, facing legal and industry challenges.

Quack Quack: President Donald Trump speaks with reporters in front of the West Wing of the White House, Thursday, May 8, 2025, in Washington.
President Donald Trump at the White House on May 8, 2025.
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Overview

  • President Trump is preparing to sign an executive order directing federal health agencies to implement a 'most favored nation' pricing model for certain Medicare drugs.
  • The plan would link Medicare's payments for drugs to the lowest prices paid by countries like Canada, Germany, and the U.K., aiming to reduce U.S. prescription costs.
  • A similar proposal finalized in 2020 was blocked by federal courts, and the Biden administration later abandoned it due to legal and stakeholder concerns.
  • The policy is projected to save U.S. taxpayers over $85 billion in seven years, though experts debate its feasibility and potential impact on drug access.
  • Pharmaceutical industry groups are expected to challenge the order, while health policy experts remain divided on its effectiveness and implementation scope.