Big Pharma Braces for Trump’s Tariff Wall

A 25% tariff on drug imports could raise U.S. drug costs by $51bn annually and increase prices by up to 12.9% if passed on.

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TODAY’S STORY

Trump says he will announce pharmaceutical tariffs within two weeks, similar to the 25% levies on steel, aluminum, and cars. He suggests companies will be given time to relocate to the U.S. before facing a "tariff wall."

Americans would suffer the most, as medications would become more expensive and potentially unaffordable for some people. A 25% tariff on drug imports could raise U.S. drug costs by $51bn annually and increase prices by up to 12.9% if passed on, according to EY.

The U.S. imported $203bn in pharmaceutical products in 2023 alone, with 73% coming from Europe, primarily Ireland, Germany, and Switzerland.

However, the tariff strategy is starting to drive some drugmakers to make concessions:

  • Roche: $50bn U.S. investment over 5 years

  • Novartis: $23bn U.S. commitment over 5 years

  • AstraZeneca: $3.5bn investment in November; shifting some U.S.-bound production from Europe

  • Eli Lilly: $27bn across four new U.S. sites

Pharma’s learning what every Trump-targeted industry already knows: relocate or bleed margins.

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