Executive Order 14273 · 2025-04-18

Lowering Drug Prices by Once Again Putting Americans First

Directs Federal Government to Cut Prescription Drug Prices Nationwide

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Signed by Donald Trump
Published 2025-04-18

What it does

Agencies must issue rules, reports, and recommendations to lower drug prices and reform Medicare, Medicaid, and importation programs.

Real-world impact

  • Targets reduction in Medicare Part D premiums and out-of-pocket drug costs.
  • Requires health centers to offer insulin and epinephrine at discounted prices.
  • Aims to speed approval of generics, biosimilars, and increase drug importation.

Topics

prescription drug pricesMedicare policydrug importationgeneric competitionhealthcare costs

Summary

This order directs federal agencies to take multiple steps to lower prescription drug prices and increase competition. It requires new guidance and reforms for the Medicare drug negotiation program, seeks plans to reduce Medicare Part D premiums, and directs actions to speed approval of generics, expand drug importation, and improve Medicaid drug payment rules.

The order affects Medicare and Medicaid patients, health centers, employers, state programs, and pharmaceutical manufacturers, aiming to make medicines more affordable and to protect taxpayers from high drug spending.

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