Haitong Securities International·2026-01-06 05:46Investment Rating - The report assigns an "Outperform" rating for the pharmaceutical industry [1]. Core Insights - On December 19, the U.S. government announced agreements with 14 pharmaceutical companies, including major players like Amgen, Gilead, and Novartis, to implement Most-Favored-Nation (MFN) pricing, which includes price reductions for certain medications and increased domestic investment [6][17]. - The agreements entail a commitment of at least $150 billion in domestic production investments from the participating companies [18]. - Price reductions are primarily focused on Medicaid and direct sales channels, which are expected to have a limited impact on overall revenue for the companies involved [19]. Summary by Sections MFN Negotiations - The MFN negotiations are nearing completion, with 14 pharmaceutical companies reaching agreements with the government, covering aspects such as Medicaid price reductions and international pricing alignment for new drugs [6][17]. - The agreements include provisions for lowering costs of chronic disease medications and implementing MFN pricing for all listed innovative drugs [18]. Impact on Tariffs and Market Reaction - The MFN agreements provide a three-year exemption from tariffs, alleviating previous uncertainties regarding trade policies affecting the pharmaceutical industry [14][19]. - Following the announcement, the XBI index rose by 2.85%, indicating a neutral to optimistic market reaction to the agreements [11]. Specific Measures and Commitments - Companies are required to lower costs for chronic disease medications, including those for type 2 diabetes and rheumatoid arthritis, through direct sales channels [6][18]. - The agreements also stipulate that companies will donate active pharmaceutical ingredients to a strategic reserve to reduce reliance on foreign sources [7][18].