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Trump pharmaceuticals announcement "threatens to unleash a pharmageddon that could cost the NHS billions in extra medication cost"

ended 12. May 2025

Late last night, in a post on Truth Social, Trump announced he will be reducing prescription drug and pharmaceuticals prices “almost immediately by 30% to 80%”. Asian pharma stocks dropped overnight on the news.

One trader said the Executive Order “could be pretty big for the UK, especially the FTSE, considering AstraZeneca is 7.7% and GlaxoSmithKline is about 2.6% of the FTSE 100 weight”. 

Meanwhile, an economist warned: “Trump’s late‑night Truth Social manifesto threatens to unleash a pharmageddon that could cost the NHS billions in extra medication costs, just as budgets are tightened. This is sadly not hyperbole but a fair reading of the proposed executive order, as this plan would peg US prices to the lowest charged in any peer economy, leaving pharmaceutical providers to find new ways of making up for lost revenue.”

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Trump’s late‑night Truth Social manifesto threatens to unleash a pharmageddon that could cost the NHS billions in extra medication costs, just as budgets are tightened. This is sadly not hyperbole but a fair reading of the proposed executive order, as this plan would peg US prices to the lowest charged in any peer economy, leaving pharmaceutical providers to find new ways of making up for lost revenue. As it stands, UK medication prices already sit at the bottom of league tables, leaving them ripe for potential price increases to claw back profitability. Just a 4% uplift in branded‑drug costs over the next spending‑review window would land a more than £1bn blow to the NHS, as the Treasury tries to desperately reduce funding. As a consequence, what the Trump Administration may pitch as a populist victory to US voters will result in a stealth tax on British patients, with every forced discount across the Atlantic inviting manufacturers to stiffen prices inside the NHS.
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Trump’s plan to cut US drug prices by 30%-80%, tying them to global lows, is already stirring the market and could hit pharma stocks hard. Asian firms like Takeda fell 4.5% overnight, and UK investors may see AstraZeneca and GSK drop 3%-6% or more if R&D budgets shrink. US insurers might save on claims but lose rebates, risking higher premiums. Retailers like CVS face lower margins despite potential volume gains. For the NHS, UK investors, insurers and retailers, the outcome depends on how drugmakers adapt and whether global prices truly "equalize” if drug prices rise. The real impact will unfold as the policy faces inevitable challenges, but if enacted, it could disrupt global pharma, innovation and pricing.
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The pharma companies will regain any lost US revenue by increasing prices globally, including here in the UK. Once again, Trump’s policies have global reach and repercussions.
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This could be pretty big for the UK, especially the FTSE, considering AstraZeneca is 7.7% and GlaxoSmithKline is about 2.6% of the FTSE 100 weight. The biggest hit could be to the Danish stock market given that Novo Nordisk has a greater market cap than the Danish economy.