There isn't a lot of detail, but from what I have read so far, it probably won't affect LTP. I base that on the below exerts from the article linked. Other sites gave similar interpretations. It appears drugs in the US will be required to be sold at the same price as the lowest price in other countries. I think the plan was to sell Spontan or Roxus in the US at the same price as in Australia so that shouldn't be an issue. It also sounds like it might be aimed at higher priced drugs sold through Medicare. Also not an issue for LTP because of the low price per dose and I haven't heard of any plan to sell through medicare, medicade, etc.. There is still uncertainty in it so as you say, it probably does explain today's selling regardless of whether or not it will affect LTP. It appears this was in some way expected "Drugmakers have been expecting an order that would focus on the Medicare health insurance program, according to four drug industry lobbyists who said they had been briefed by the White House. Reuters previously reported such a policy was under consideration."
"WASHINGTON, May 11 (Reuters) - U.S. President Donald Trump said on Sunday he would sign an executive order to cut prescription prices to the level paid by other high-income countries, an amount he put at 30% to 80% less.
In a post on Truth Social, Trump said he would sign the executive order on Monday morning to pursue what is known as "most favored nation" pricing or international reference pricing."
"Drugmakers have been expecting an order that would focus on the Medicare health insurance program, according to four drug industry lobbyists who said they had been briefed by the White House. Reuters previously reported such a policy was under consideration.The drugmakers expect the order to apply to a universe of drugs beyond those currently subject to negotiation under former President Joe Biden's Inflation Reduction Act."
Because of that law, Medicare has negotiated prices for 10 drugs, with those prices due to be put in place next year. More medicines were set to be negotiated later this year.
"Government price setting in any form is bad for American patients," Alex Schriver, a spokesperson for the top U.S. drug company lobbying group, the Pharmaceutical Research and Manufacturers of America, said in a statement when asked about Trump's planned executive order.
This is not the first time President Trump has tried to tie drug prices to what other countries pay. During Trump's first term, a court blocked a proposed international reference pricing program.
That proposal five years ago was projected by his administration to save taxpayers more than $85 billion over seven years, cutting into U.S. annual spending of more than $400 billion on drugs.
https://www.reuters.com/business/healthcare-pharmaceuticals/trump-sign-executive-order-reducing-prescription-drug-prices-2025-05-11/
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