Overview
- Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Genentech, Gilead, GSK, Merck, Novartis and Sanofi signed on, joining five firms that reached earlier agreements.
- The agreements commit MFN-style pricing for many Medicaid drugs, launch-price parity with other wealthy countries, and cash-pay discounts to be routed through TrumpRx.gov starting in early 2026.
- The White House cited examples for the direct-purchase portal, including Amgen’s Repatha at $239 a month and Merck’s Januvia at $100, with additional drugs listed by participating companies.
- In exchange, drugmakers receive three-year exemptions from potential tariffs and have collectively pledged more than $150 billion for U.S. manufacturing and R&D, with contributions to an emergency API reserve.
- Advocates and some lawmakers questioned the opaque, voluntary deals and the real-world savings for insured patients and Medicaid enrollees, while AbbVie, Johnson & Johnson and Regeneron remain unsigned with further announcements suggested by the administration.