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Trump Moves to Require Lower Drug Prices in Medicare

Trump Moves to Require Lower Drug Prices in Medicare

December 23, 2025 Dr. Jennifer Chen Health

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Trump’s Drug‍ pricing Push: MFN deals and Medicare Pilots


Trump’s Drug ​Pricing ⁤Push: MFN Deals and Medicare‌ Pilots

Table of Contents

  • Trump’s Drug ​Pricing ⁤Push: MFN Deals and Medicare‌ Pilots
    • Trump’s ⁢Favorite Drug⁢ Pricing Policy
      • At a Glance
    • Understanding the Most Favored Nation (MFN) Approach

You’re reading the web edition of D.C. Diagnosis, STAT’s ⁣twice-weekly newsletter about the politics and policy of ⁢health and medicine. Sign up here to receive ​it in your inbox on Tuesdays and Thursdays.

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Trump’s ⁢Favorite Drug⁢ Pricing Policy

As⁤ his first term, Trump has promised to lower U.S. ⁤drug prices to levels charged in other rich countries. On friday, the administration announced most-favored nation deals ⁢with nine ​more drugmakers. Then CMS proposed two mandatory MFN pilot programs in Medicare.

At a Glance

  • What: The ⁤Trump administration is implementing “most Favored Nation” (MFN) ⁤drug pricing deals and Medicare pilot programs.
  • Where: Primarily impacting Medicare and potentially ‍Medicaid.
  • When: Announced December 2025, with pilot‌ programs ‌proposed.
  • Why it⁤ Matters: A key component of Trump’s promise to lower drug prices in‌ the U.S.
  • What’s ‍Next: Implementation of ⁣the MFN deals and rollout of ‌the Medicare pilot programs. Potential legal challenges are ⁣expected.

Understanding the Most Favored Nation (MFN) Approach

The MFN approach, as proposed by the Trump administration, ‍aims to tie the prices of⁢ certain​ drugs in the U.S. ‌to the lowest prices paid in ‌other developed‌ countries. This is a important⁣ departure from the current ⁤U.S. system, where drug prices are largely resolute by ‌market forces and negotiations between manufacturers and pharmacy benefit managers (

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