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Trump’s Executive Order Targets Prescription Drug Prices and PBMs

The order mandates HHS to draft regulations tying U.S. drug prices to foreign rates and eliminating pharmacy benefit managers' role in 30 days.

Pills and capsules in euro banknotes.
President Donald Trump, with Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services, left, and Health and Human Services Secretary Robert F. Kennedy Jr., right, holds an executive order related to drug prices, in the Roosevelt Room of the White House in Washington, Monday, May 12, 2025, in Washington. (AP Photo/Mark Schiefelbein)
Medicines are seen in this illustration taken, June 27, 2024. REUTERS/Dado Ruvic/Illustration

Overview

  • President Trump signed an executive order to reduce U.S. drug costs by capping prices at the lowest levels paid by other developed nations.
  • The order directs Health and Human Services Secretary Robert F. Kennedy Jr. to propose regulations within 30 days if drugmakers do not voluntarily lower prices.
  • The plan seeks to eliminate pharmacy benefit managers (PBMs) as intermediaries, a move facing both support and criticism from industry stakeholders.
  • Experts warn the policy could reduce pharmaceutical revenues, potentially hindering innovation and the development of new drugs globally.
  • Legal challenges are expected, with critics citing uncertainties about the policy's feasibility and potential conflicts with existing laws.