Trump slashes GLP-1 weight-loss drug prices from $1,350 a month to $350 through a bold federal platform, forcing Big Pharma to match foreign lows or face tariffs.
Story Snapshot
- TrumpRx.gov launches direct-to-consumer purchases at Most Favored Nation prices, bypassing PBM middlemen.
- GLP-1 drugs like Ozempic and Wegovy drop to $350/month via TrumpRx, saving patients thousands yearly.
- Deals with Pfizer, Eli Lilly, Novo Nordisk trade tariff relief for U.S. price cuts and manufacturing pledges.
- Executive Order 14297 anchors policy, targeting Medicare, Medicaid, and uninsured Americans.
- Partnership with Mark Cuban’s Cost Plus Drugs expands access to affordable brand-name meds.
Executive Order Sparks MFN Revolution
President Trump signed Executive Order 14297 on May 12, 2025, directing HHS to enforce Most Favored Nation pricing for Medicare and Medicaid drugs. This order mandates prices match the lowest in other developed nations. Manufacturers faced Section 232 tariff threats if they refused. Trump sent letters to pharma giants on July 31, 2025, demanding compliance. This leverage flipped decades of U.S. patients subsidizing global low prices. Common sense demands Americans pay no more than Canadians or Europeans for the same pills.
Pfizer Deal Launches TrumpRx Platform
Trump announced the first MFN deal with Pfizer on September 30, 2025, unveiling TrumpRx.gov as a federal direct-to-consumer site. Patients buy select brand drugs without insurance at discounted rates. The site went live in October 2025. AstraZeneca followed on October 10 with MFN pricing and U.S. manufacturing commitments for tariff exemptions. EMD Serono joined October 16 for IVF therapies. These steps cut PBM profits, aligning with conservative values of free-market competition over cronyism.
Mark Cuban’s Cost Plus Drugs partnered with TrumpRx on October 20, 2025, scaling transparent pricing nationwide. Critics question legal hurdles, but early deals prove executive action works where Congress stalls. Employer plans watch closely as patients shift to cheaper channels.
GLP-1 Drugs See Historic Price Cuts
Eli Lilly and Novo Nordisk struck GLP-1 deals on November 6, 2025. Ozempic and Wegovy prices fell from $1,000-$1,350 monthly to $350 via TrumpRx. Zepbound dropped from $1,086 to $346 average. Future oral GLP-1s start at $150 per month dose. White House fact sheets tout taxpayer savings in Medicare obesity coverage. These reductions hit high-demand weight-loss drugs amid exploding U.S. obesity rates. Facts show manufacturers profited hugely; MFN forces fair play without socialism.
TrumpRx targets uninsured and underinsured first, with Medicare/Medicaid integration pending. Prices trend toward $245/month in two years per benchmarks. Pharma gains tariff relief and regulatory perks, boosting U.S. jobs. This model revives Trump’s first-term transparency pushes, blocked by courts then but empowered now.
Stakeholders React to Market Shift
HHS and CMS operationalize TrumpRx, coordinating with existing benefits. PBMs like CVS Caremark lose rebate control as patients bypass formularies. Employers face trend control questions but welcome cost pressures. Patients gain immediate relief on specialty drugs. Manufacturers selectively participate, preserving non-TrumpRx pricing power. Congress eyes statutory support, but executive drive dominates. Conservative principles shine: government uses trade tools to enforce market discipline, not price controls.
Analysts note operational uncertainties, yet live website and five deals signal momentum. Early 2026 expands drugs and partners. This disrupts a rigged system where middlemen skimmed billions. Trump delivers visible wins, proving bold leadership trumps bureaucratic inertia.
Sources:
https://truveris.com/trumprx-and-mfn-pricing/
https://medicare.chir.georgetown.edu/drug-pricing-in-the-era-of-trump-2-0/









