
US President Donald Trump issued an executive order on August 13 2025 instructing the Department of Health and Human Services to assemble a six-month stockpile of active pharmaceutical ingredients (APIs) for around 26 critical drugs.
The move revives a domestic reserve scheme - known as the Strategic Active Pharmaceutical Ingredients Reserve, or SAPIR - and charges officials with designating a list of about 26 medicines key to "national health and security" and readying a repository for safe-keeping of APIs as soon as certification allows.
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