President Trump signed an executive order imposing up to 100% tariffs on branded pharmaceutical imports unless drugmakers negotiate pricing agreements with his administration, with larger companies having 120 days and smaller ones 180 days before tariffs take effect. More than a dozen major drugmakers including Eli Lilly, Pfizer and Novo Nordisk have already signed deals to lower drug prices in exchange for three-year tariff exemptions, generating $400 billion in commitments to reshore manufacturing. The policy applies country-specific baseline tariffs of 15% to the EU, Japan, South Korea and Switzerland, and 10% to the UK, while exempting generics and biosimilars. Companies must complete new domestic plants by January 2029 to qualify for exemptions, as the administration justifies the policy based on national security concerns identified by the Commerce Department.
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