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US plans Medicaid most-favored-nation pricing for some drugs in all states, Semafor reports

By Thomson Reuters Sep 18, 2026 | 4:51 AM

Sept 18 (Reuters) – The Donald Trump administration is set to announce on Friday that all 50 states would see most-favored-nation ​pricing for certain drugs in Medicaid ‌programs, Semafor reported, citing administration plans.

President Trump will host the governors of South Dakota, Mississippi and Arkansas in the Oval Office “to tout work on lower drug ‌prices,” ​Semafor said.

Reuters could not immediately ⁠verify the report.

The ⁠White House and US Department of Health and Human Services did not immediately respond to a Reuters request for comment.

The US pays ​more for prescription drugs than any other country, often nearly thrice as much as ⁠other developed nations. Trump ⁠has repeatedly said he wants to ​narrow this gap.

His administration signed deals with 17 ​of the largest global drugmakers, including Pfizer, ‌Eli Lilly and Novo Nordisk, starting last year.

The companies agreed to offer lower prices, comparable to what is paid in other developed ⁠countries — referred to as “most-favored-nation” pricing.

Medicaid, funded jointly by state and federal governments, already draws steep discounts from ⁠drugmakers, mandated ‌by existing law. Most people covered ⁠by the health program for ​low-income ‌Americans pay little out of pocket ​for prescriptions.

Last ⁠month, the administration announced a new round of drug-pricing agreements with international pharmaceutical companies and some smaller biotechs.

(Reporting by Anusha Shah and Sriparna Roy in Bengaluru; Editing by Toby Chopra and ​Joyjeet Das)