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U.S. and U.K. Seal Three-Year Zero‑Tariff Pharma Deal Tied to Higher NHS Drug Prices

The U.S. also commits to pause pricing investigations of the U.K. sector during President Trump’s term.

Overview

  • U.S. will apply a 0% tariff to U.K.-origin pharmaceuticals, ingredients and medical technology for at least three years under the agreement.
  • The U.K. will raise the net price it pays for new medicines by 25%, marking the first major increase in over two decades, officials said.
  • NICE’s cost-effectiveness threshold will increase from £30,000 to £35,000 per quality-adjusted life year for new drug appraisals.
  • The NHS repayment (rebate) rate on branded medicines will be capped at 15% starting in 2026, according to the USTR.
  • U.S. and U.K. officials say the pact secures investment and jobs in America from U.K. drugmakers and could speed U.K. patient access to breakthrough treatments.