Pfizer IncPfizer was the first to sign, offering discounts on more than 30 branded medicines as it works to replace declining COVID-19 revenue.
The Trump administration has reached voluntary most-favored-nation pricing agreements with 17 of the world's largest pharmaceutical manufacturers, including Pfizer, AbbVie, and Bristol Myers Squibb. These deals align prices for certain drugs with those in comparable developed countries, expand discounted direct-to-consumer purchasing through the TrumpRx platform, and provide MFN pricing for some Medicaid purchases. Pfizer was the first to sign, offering discounts on more than 30 branded medicines as it works to replace declining COVID-19 revenue. AbbVie enters the new environment with strength, as newer immunology drugs Skyrizi and Rinvoq now drive growth and are expected to more than offset Humira's decline. Bristol Myers Squibb faces patent expirations on top sellers like Revlimid and Eliquis, making its pipeline and acquisitions critical to filling the revenue gap. By April 2026, the agreements covered manufacturers representing roughly 86% of the branded U.S. pharmaceutical market, and many companies have chosen to negotiate rather than oppose the changes.
Pfizer IncPfizer was the first to sign, offering discounts on more than 30 branded medicines as it works to replace declining COVID-19 revenue.
AbbVie IncAbbVie's newer immunology drugs Skyrizi and Rinvoq are expected to offset Humira's decline, and the company enters the pricing environment with strength.
Bristol-Myers Squibb CompanyBristol Myers Squibb faces patent expirations on top sellers like Revlimid and Eliquis, making revenue replacement challenging under pricing agreements.
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