October 11, 2025
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AstraZeneca to offer MFN Medicaid prices and join TrumpRx site

AstraZeneca struck a deal with the White House to provide most‑favored‑nation pricing for Medicaid (and on new drugs), list its primary‑care medicines on the TrumpRx portal, and offer up to an 80% discount to eligible patients with chronic‑disease prescriptions. CMS says TrumpRx will not sell drugs directly while AstraZeneca says the site will enable reduced cash purchases; experts note Medicaid already has “best price” protections that may limit pharmacy‑counter impact, and AstraZeneca also pledged U.S. manufacturing and research investment — the second such agreement after Pfizer.

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📌 Key Facts

  • CMS Administrator Mehmet Oz said AstraZeneca will provide 'most‑favored‑nation' (MFN) pricing to Medicaid patients and on new drugs, and will list 'all primary care medications' on the TrumpRx site.
  • AstraZeneca said it will offer up to an 80% discount for eligible patients with prescriptions for chronic diseases.
  • CMS says TrumpRx will not sell drugs directly, but AstraZeneca says the TrumpRx site will enable direct purchases from the company at a reduced cash price — the two accounts conflict.
  • Experts note Medicaid already has 'best price' protections, suggesting the MFN offer may have limited impact at the pharmacy counter for many Medicaid patients.
  • The deal follows President Trump's threats of 100% tariffs on pharmaceuticals unless drugmakers build U.S. plants; AstraZeneca announced plans to invest in U.S. manufacturing and research.
  • This is the second such agreement in recent weeks, after Pfizer reached a similar deal to offer MFN rates and list drugs on TrumpRx.

📚 Contextual Background

  • Medicaid is a government health insurance program for people with low incomes or disabilities and is funded jointly by state and federal governments.
  • Medicaid spending is typically one of the largest components of U.S. state budgets.

📰 Sources (2)

Trump unveils deal for AstraZeneca to cut Medicaid drug prices and join "TrumpRx" site
https://www.facebook.com/CBSNews/ October 11, 2025
New information:
  • CMS Administrator Mehmet Oz said AstraZeneca will provide 'most‑favored‑nation' pricing to Medicaid patients and on new drugs, and list 'all primary care medications' on TrumpRx.
  • AstraZeneca said it will offer up to an 80% discount for eligible patients with prescriptions for chronic diseases.
  • TrumpRx will not sell drugs directly according to CMS, but AstraZeneca says the site will enable direct purchases from the company at a reduced cash price.
  • Experts note Medicaid already has 'best price' protections, suggesting limited impact at the pharmacy counter for many Medicaid patients.
  • Trump has threatened 100% tariffs on pharmaceuticals unless drugmakers build U.S. plants; AstraZeneca announced plans to invest in U.S. manufacturing and research.
  • This is the second such deal in recent weeks, following Pfizer’s similar agreement to offer MFN rates and list drugs on TrumpRx.