Core Points - President Trump and nine major pharmaceutical companies have reached agreements to reduce medication costs for cash payers and the Medicaid program, aligning U.S. prices with those of other wealthy nations [1][2] - Drugmakers will implement most-favored-nation pricing for Medicaid drugs, ensuring prices match the lowest available globally [2][4] - A new government website, TrumpRx.gov, will facilitate the purchase of discounted prescription drugs directly from manufacturers [3] Agreement Details - Companies involved include Bristol Myers Squibb, Gilead Sciences, Merck, Genentech, Novartis, Amgen, Boehringer Ingelheim, Sanofi, and GSK [2] - Drugmakers will list their products on TrumpRx.gov, which offers significant discounts for cash payers and mandates that new drugs be priced no higher than in other wealthy countries [3] - In exchange for these commitments, companies will receive three-year tariff exemptions previously imposed on foreign-made drugs [4] Specific Drug Pricing - Merck will sell its diabetes drugs, Januvia and Janumet, at a 70% discount to consumers, while Bristol Myers Squibb will provide its blood thinner, Eliquis, free to Medicaid starting January 1, 2026, and offer selected medicines at approximately 80% off list prices for cash-paying patients [5] Investment Commitments - The pharmaceutical companies have pledged over $150 billion in U.S. research and development and manufacturing investments, with Merck committing more than $70 billion to enhance domestic production and innovation [6] - Five companies have already established agreements with the administration, with three more expected to announce deals soon [6] Program Evaluation - Mark Cuban, a billionaire entrepreneur, rated TrumpRx.gov with a "B" grade, indicating potential but suggesting it needs to compel pharmacy benefit managers to alter their practices for a higher rating [7]