MFN one year on: a review of the 17 TrumpRx deals

4 August 2026

In July 2025 the White House sent letters to 17 large drugmakers asking them to match, for American patients, the lowest prices they charge in other wealthy nations. A year on, all 17 have signed "most-favored-nation" (MFN) pricing deals. The administration says the group accounts for about 86% of the branded US market.

The main consumer-facing element, the website TrumpRx.gov, has been live since February 5, 2026. It offers discounts on selected drugs sold directly to cash-paying patients, priced in line with the lowest levels in other developed nations.

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