Trump’s Drug Price Cuts: Impact on Pharma & Indian Market

May 14, 2025

In a dramatic policy turnaround, U.S. President Donald Trump has signed an ambitious executive order that aims to reduce prescription drug prices by up to 80%.

The move, on the basis of a Most-Favoured-Nation (MFN) model of pricing, mandates Americans to pay no higher for drugs than the lowest rate in comparable developed countries. While this step assures relief for American consumers long overdue, it also creates ripples in the global pharma sector with potential repercussions for markets like India.

drug price cuts Impact on pharma and indian market

Understanding the MFN Pricing Model

MFN pricing is intended to align U.S. drug prices with the lowest-paying advanced countries. This way, the Trump administration intends to end what it views as American consumers subsidizing other countries’ healthcare systems and profit margins of pharmaceutical firms. Pharmaceutical firms are provided with a 30-day window within which they can reduce drug prices voluntarily; otherwise, they can face regulatory actions, including imposing the MFN pricing model.

Targeting Middlemen and Promoting Drug Importation

In addition to prices, the executive order also addresses the middlemen like pharmacy benefit managers, whom Trump accuses of driving up drug prices. By eliminating these “middlemen,” the administration aims to reduce prices further. The order also facilitates the importation of safe, lower-cost prescription drugs from countries like Canada to increase competition and reduce prices.

Global Implications: A Ripple Effect on International Markets

The U.S. accounts for a significant share of worldwide pharmaceutical profits. With the implementation of the MFN policy, pharmaceutical companies will probably look to recover lost revenues in other markets by manipulating prices. In its report, the Global Trade Research Initiative finds that this can put pressure on countries like India to raise drug prices, perhaps through strengthened patent laws and trade negotiations.

India’s Position: Shielded Yet Vulnerable

While the direct effect on Indian pharma companies might be small in the near term, long-term effects could be significant. India, whose cheap generic production of drugs is based on volume-driven business, may face a challenge if multinationals operating in the pharma industry try to increase prices in developing nations in order to balance reduced volumes in the U.S. This will lead to increased drug prices in the nation as well as affect the cost of medicines to be provided to Indian patients.

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Balancing Affordability and Innovation

Critics are claiming that though the MFN policy seeks to bring drugs closer to people’s affordability, it would actually curb innovation in the drug sector. Lower revenues translate into lower spending on research and development, thereby hindering the production of new medicines. It is also subject to lawsuits and resistance from powerful players in the industry.

Conclusion: A Paradigm Shift in Global Pharmaceutical Pricing

President Trump’s executive order is a dramatic shift in U.S. policy in medicine, defying the traditional pricing ability of pharmaceutical firms. While it promises American consumers enormous cost savings, it creates complexities on the international market, particularly to countries like India. As the policy is implemented, actors worldwide will need to balance between the drug affordability and the profitability of pharma research.

Reference

https://www.thehindu.com/business/markets/indian-pharma-stocks-fall-as-trump-moves-to-cut-us-drug-prices/article69566281.ece

https://timesofindia.indiatimes.com/world/us/how-donald-trump-plans-to-beat-big-pharma-and-cut-drug-costs-by-80-going-to-pay-the-lowest-price/articleshow/121123552.cms


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