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European drugmakers fall after Trump raises stakes over US drug price cuts

Published by Global Banking & Finance Review

Posted on August 1, 2025

3 min read

· Last updated: January 22, 2026

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European drugmakers fall after Trump raises stakes over US drug price cuts
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By Ankur Banerjee SINGAPORE (Reuters) -Shares of European drugmakers slipped on Friday after U.S. President Donald Trump sent letters to major pharmaceutical firms to cut drug prices in the United

European Pharmaceutical Stocks Decline Following Trump's Drug Price Demands

By Ankur Banerjee

SINGAPORE (Reuters) -Shares of European drugmakers slipped on Friday after U.S. President Donald Trump sent letters to major pharmaceutical firms to cut drug prices in the United States, months after signing a sweeping executive order aimed at lowering prices.

The letters were the latest setback for a sector still grappling with the prospect of tariffs outlined in the U.S.-EU trade deal that could cost the pharmaceutical industry between $13 billion and $19 billion.

Trump called on 17 drugmakers to provide so-called most-favoured-nation prices to every patient enrolled in the government Medicaid health programme for low-income people, and to guarantee such pricing for new drugs.

Shares of European drugmakers Sanofi, AstraZeneca, GSK, Merck KGaA and Novo Nordisk slipped between around 1% and 4% in early trading on Friday. Novo's 4% fall extends a selloff this week that started on Tuesday with a 28% plunge, wiping out $70 billion of its market value after the maker of weight-loss drug Wegovy issued a profit warning and named a new CEO.

The companies were all sent letters by Trump, who gave them until September 29 to respond with binding commitments to those terms. U.S. drugmakers including Pfizer, Johnson & Johnson, Eli Lilly and Merck were also sent the letters.

The European healthcare index was down 1.4% by 0731 GMT, its lowest since April.

"Trump's directive to the pharma companies will put them on the defensive and adds yet another layer of uncertainty for the sector which could also face import tariffs in time to come," said Vasu Menon, managing director of investment strategy at OCBC.

"While Trump has set a deadline for these companies to comply, it remains to be seen if this is hard coded or if he will roll back some of his threats if these companies make an effort to engage him and soften his stance."

Analysts, lobbyists and drug pricing experts though said it seemed unlikely that the pharmaceutical companies would comply with Trump's demand to lower U.S. prices.

The companies including Pfizer, AbbVie, and German Merck KGaA's U.S. division, EMD Serono, said they were open to working with the Trump administration.

Trump's executive order in May directed drugmakers to lower medicine prices to align with what other countries pay, leading to some shift in how drugmakers look to sell their medicines.

Swiss drugmaker Roche said last week it was considering selling its prescription medicines in the United States directly to consumers to lower costs for patients as part of talks with the U.S. government.

(Reporting by Ankur Banerjee in Singapore, additional reporting by Anna Pruchnicka; Editing by Amanda Cooper and Emelia Sithole-Matarise)

Key Takeaways

  • European pharmaceutical stocks fell after Trump's price cut demands.
  • Trump sent letters to 17 drugmakers for price commitments.
  • Potential tariffs could cost the industry $13-19 billion.
  • Shares of major firms like Sanofi and AstraZeneca slipped.
  • Uncertainty remains over compliance with Trump's demands.

Frequently Asked Questions

What did Trump demand from drugmakers?
Trump called on 17 drugmakers to provide most-favoured-nation prices to every patient enrolled in the government Medicaid health programme and to guarantee such pricing.
What was the market reaction to Trump's letters?
Shares of European drugmakers like Sanofi, AstraZeneca, and GSK fell between 1% and 4% in early trading following Trump's announcement.
What deadline did Trump set for the drug companies?
Trump gave the companies until September 29 to respond with binding commitments to his terms regarding drug pricing.
How are analysts viewing Trump's pricing demands?
Analysts and drug pricing experts believe it is unlikely that pharmaceutical companies will comply with Trump's demand to lower U.S. prices.
What is the broader context of Trump's drug pricing initiative?
Trump's executive order in May aimed to align U.S. drug prices with those in other countries, which has led to shifts in how drugmakers approach pricing.

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