*
Trump administration sought drugmaker input on boosting
drug
prices abroad
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White House offered to back drugmakers' global price talks
if
they lowered U.S. drug prices
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A White House official described the talks with drugmakers
as
collaborative
By Patrick Wingrove and Maggie Fick
NEW YORK, Aug 7 (Reuters) - The Trump administration has
been talking to drugmakers about ways to raise prices of
medicines in Europe and elsewhere in order to cut drug costs in
the United States, according to a White House official and three
pharmaceutical industry sources.
U.S. officials told drug companies it would support their
international negotiations with governments if they adopt "most
favored nation" pricing under which U.S. drug costs match the
lower rates offered to other wealthy countries, the White House
official said.
The U.S. is currently negotiating bilateral trade deals and
setting tariff rates on the sector.
The Trump administration has asked some companies for ideas
on raising prices abroad, two of the sources said, describing
multiple meetings over several months aimed at lowering U.S.
prices without triggering cuts to research and development
spending drugmakers insist would result.
The White House official called the effort collaborative,
saying both sides were seeking advice from each other.
The U.S. pays more for prescription drugs than any other
country, often nearly three times as much as other developed
nations. President Donald Trump has repeatedly said he wants to
narrow this gap to stop Americans from being "ripped off."
The previously unreported discussions reflect the challenges
Trump faces to achieve that goal, and are the backdrop to the
letters he sent last week to CEOs of 17 major drugmakers, urging
them to cut U.S. prices to match those paid overseas.
Unlike in the U.S., where market forces determine drug
prices, European governments typically negotiate directly with
companies to set prices for their national healthcare systems.
Anna Kaltenboeck, a health economist at Verdant Research,
said European nations have leverage to drive pricing and are
sometimes willing to walk away from purchasing medicines they
deem too expensive.
Drugmakers generate most of their sales in the U.S. The
Pharmaceutical Research and Manufacturers of America - the
industry's main lobby group - has always argued that cutting
U.S. prices would stifle innovation by lowering R&D spending.
PhRMA declined to comment on the private meetings.
Kaltenboeck said past studies had shown that drugmakers made
enough money in the U.S. to more than fund their entire global
R&D spends.
"Prices can come down in the United States without being
increased in other countries, and we can still get innovation,"
she said.
TOP PRIORITY
Despite the Trump administration's tariff threats and
pressure to move more manufacturing to the U.S., the push to
raise European drug prices is its top priority in discussions
with industry, according to a senior executive at a European
drugmaker, who spoke on condition of anonymity about the
confidential meetings.
"This is the key conversation right now with PhRMA and every
company getting that message from Pennsylvania Avenue to a point
that we are already executing on it," the executive said,
referring to the White House address. The company had already
met with European governments on the issue, the executive added.
An E.U. Commission spokesperson said it is in regular
contact with the pharma industry and pointed to an agreement
with the U.S. that should it impose tariffs on pharmaceuticals,
they would be capped at 15%.
When asked how the administration would support
international drug price negotiations, the White House official
referred Reuters to Trump's most favored nation executive order
from May. That order directed trade officials to pursue trade
and legal action against countries keeping drug prices below
fair market value.
In last week's letters, Trump complained that since the
May executive order, most industry proposals had simply shifted
blame for high prices or requested policy changes that would
result in billions in industry handouts.
A second source, a pharmaceutical executive who was not
authorized to speak on the matter, said the Trump administration
has been continually meeting with representatives of his company
and had discussed strategies for raising drug prices
internationally.
"There's a big push from the administration to drive up
prices outside the U.S.," the executive said.
The executive said the Trump administration had been looking
at using trade talks with the UK and EU as leverage, and
considered pressuring countries to spend a higher percentage of
GDP on new medicines or offering tariff breaks in exchange for
higher drug spending.
It was understood that the UK deal specifically aims to
get the country to ramp up investment in branded medicines over
time, the executive said.
A spokesperson for the UK government said it would continue
to work closely with the U.S. and its own pharmaceutical
industry to understand the possible impact of any changes
to drug pricing, without commenting on the trade talks.
In April, over 30 industry CEOs including those from
AstraZeneca ( AZN ), Bayer and Novo Nordisk
signed a letter to European Union President Ursula
von der Leyen saying Europe needed to rethink its pricing
policies.
"It's going to be very difficult for a country that already
has the ability to control what it spends to go in the other
direction," Kaltenboeck said, "and it doesn't make much sense
for them politically."