ARTICLE | Politics, Policy & Law
Mid-sized biotechs pressured to accept MFN deals crafted for big pharma
Complex calculus centering on payer mix and tariff exposure underpins decisions to make most-favored nation pricing deals
August 28, 2026 11:25 PM UTC
A new round of most-favored nation drug pricing deals that will be announced as soon as Monday will shed light on the intense pressure the Trump administration has applied to mid-sized biopharmas and the trade-offs they must consider. About 10 companies have accepted deals, while others have resisted the pressure.
The White House has essentially offered get-out-of-jail cards exempting companies from mandatory Medicare MFN drug-pricing models, as well as relief from tariffs, in exchange for accepting deep cuts to Medicaid reimbursement...