We have seen enough Donald Trump brand consumer Peach.Trump steak,,, Trump vodka,,, Trump Airlines,,, Trump watch-I know that the quality of the service is less important than giving the impression of legitimate. It is a spirit that you have to approach Trumprx, a website where Medicaid patients can buy cheap prescription drugs.
At a press conference on Tuesday, Trump announced the TrumPRX.GOV website to be released in early 2026, with little details. There is no language about Trumprx in the Ministry of Health and Welfare or the agency. In fact, sheet In Whitehouse.gov. The only sign on which drugs can use is the ambiguous language of the “majority” of the primary care treatment and the “some chosen professional brand”. The pharmaceutical giant hwaja has I have announced a voluntary contract Pfizer said it would be kept secret to supply drugs to the website. (Public citizens have announced a FOIA request for the transaction text. HHS spokesman will only refer to the White House facts.)
In fact, no one can buy drugs directly from Trumprx. Mark Cuban, the owner of his drug purchasing website called Cost Plus Drugs, said in an e -mail, “I heard that it is just a listing site and I will not actually sell anything. check This is true.
More than David Dayen
A list site where users mention other places to purchase constraints can filter people with the latest drug industry tactics to avoid patients’ anger for high prices: consumers or DTCs, websites. The day before the TrumPRX announcement, the pharmaceutical research and manufacturers of American’s best lobby group, AMERICA, were released. Self DTC site For exactly the same purpose of americasMedicines.com. Even Elli Lilly, Novartis, Astrazeneca and Pfizer already have “Pharm-to-Table” (“It’s not my expressionAnd I threw a little in my mouth while writing it.
Theoretically, this idea is to remove the broker of the insurance plan, the pharmacist and the pharmacy benefit manager, which leads to a higher critic. However, this voluntary website is not comprehensive and inexpensive without insurance, and has nothing to do with the highest price of prescription drugs that produce government and commercial insurance plans and strengthen pharmaceutical companies.
This website may be good for the universe of a small patient, but it does not affect the structural factors that increase the price of medicines. “If the government uses compulsory power to force everyone, there is a way to work,” said Alex Lawson of Social Security Corporation, which focuses on high pharmaceutical prices for several years. “But this is the same as Trump 1.0, a policy designed to get a press conference.”
Trumprx driving force A Series of letters The president has been released to a pharmaceutical company that requires Americans to pay similar prices to Americans for prescription drugs compared to other developed countries compared to other developed countries. The country is cheap overseas. In the United States, the negotiations have been privatized or specifically prohibited by law, and as a result, pharmaceutical companies can generally claim what they want.
Trump attempted to implement MFN at his first term, but he did not go anywhere. (Fun, late push-After Trump lost the election in 2020-It was blocked by a federal judge. I am convinced that Joe Biden can be identified.)
Once again, this is a decent theory. Why should the United States pay more than other countries? The defender of the pharmaceutical industry claims that companies should be able to recover it by spending a lot of money in R & D, but of course, pharmaceutical companies are incredibly profitable (usually they spend. Details about advertising Rather than a study), many R & D is directly funded or carried out by the US government itself.
This voluntary website is not cheap without insurance and not related to the basic problem of high list price.
Of course, the devil is in detail. Steve Knievel, an advocate for public citizens’ pharmaceutical programs, wrote a list of questions without answers to MFN. Since the net price of other countries is confidential, it is unclear how the US gets the information or what formulas to use for MFN calculation. Some prices of Medicaid, which gets a sharp discount, are lower than the price paid overseas. alreadyIt suggests that the price can potentially go consolationAccording to the details. It is not clear which drugs are included (some piety and drugs are not part of MFN transactions depending on the presentation).
MFN prices do not appear to be provided to commercial insurance or medicare patients. It represents the majority of American patients. We also do not know whether patients without insurance are qualified. Since DTC prices are generally insured, it is generally not included in the deduction and the maximum of the burden, so the patient must pay a pocket and meet the deduction later.
Knievel said, “If the DTC (DTC) is higher than Copays and Coinsuransion, insurance patients will have no reason to pursue the DTC path.
Theoretically, DTC model It can work. Alex Oshmyansky, CEO of Cost Plus Drugs, said, “It is a good thing to provide more transparency in the pharmaceutical price.
However, the price of the industrial website mentioned by Trumprx or Trumprx to the patient is Separate separation Prices used by most patients: The price paid by the insurance company. The industry’s orders have historically protected high “list price” at all costs. They are so happy to dribble on the website directly to some patients as long as the list price remains the same.
For example, Novartis provides anti -inflammatory agents called cosentyx on websites. Patients who pay cash (ie, do not use insurance) 55 % discount From the list price. Bristol Myers Squibb and PFIZER 40 % discount From the list price. According to definition, this means the list price. It remains in place To most insurance premiums who pay prescription drugs.
Except for many patients, except for many patients, some drugs are excluded at a lower price, giving the impression that pharmaceutical companies voluntarily deliver some free and remove heat. At best, it is a good benefit for low -income people. In the worst case, it is only a method for pharmaceutical companies to capture the waste of the system of the system.
“The full goal is to keep the price somewhere,” Lawson said. “Then they can earn billions of dollars based on all equations.”
The DTC site is also designed to push certain drugs, and may probably force a cheaper general alternative. They are also advertising tools. “Pharmaceutical companies can potentially use the DTC platform to better participate with the patient, raise brand awareness and strengthen brand loyalty.” Explain.
Avoiding dealing with the list price, the system will be broken. Douglas Hoeyy, CEO of National Community Pharmacists Association, said, “All these manufacturers are a solution. (Douglas Hoey) said, “It does not fix the core of the problem. “The only solution is to reform the way PBM and insurance companies run.” For several months after the contract was signed last year, the parliament was made by the influenza such as Elon Musk.
Actually, A report Senator Bernie Sanders (I-VT) pointed out that the pharmaceutical company has expanded 688 other drug prices, including drugs for rare liver diseases that have increased by 1,555 % since Trump’s inauguration. Since Trump lowered the price, including Pfizer, a partner company of the company’s guest, 87 drugs have risen.
Pfizer is actually a good case. Trump imposed 100 % tariffs on pharmaceutical products abroad to force companies to force their will. Pfizer A Exemption for 3 years In return and in return, in return and the tariffs of the future. (in fact, Most major pharmaceutical companies have been relieved Limiting and ambiguous cuts of some drugs from giving up from gorgeous tariffs, that is, some drugs, are not material damage to profits, sacrificing patients. Their stock 6.8 % increased In this announcement, a stock analyst said about the company’s profits, “This seems to be greatly positive.”
We look forward to seeing other pharmaceutical companies following Pfizer’s model. The downside is trivial, and it’s upside down to take Trump out of the head. Meanwhile, the fight with the list of prices remains intact.
The Trump administration’s big beautiful legislation includes a provision that prevents certain high -cost drugs from negotiating a Medicare price, that is, a pharmaceutical company hardly lobby. This will protect billions of dollars of interest. The fact that the pharmaceutical company continues to negotiate with drug prices, prevents drug price negotiations, and even sues the SUE, will be willing to establish a website directly to consumers and provide some cheaper prices to some people. In order to reduce the price of medicines, we will negotiate to reduce the actual price paid by a large number of patients, rather than promoting the actual price and promoting the website produced by the industry.
The first instinct, which is expected to be an exaggerated fake, is once again confirmed by a wise reaction.
