Executive Order 14297

Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients

Signed 2025-05-12 in effect
HealthcarePrescription DrugsInternational Pricing
HealthEconomy & Finance

Implements a most-favored-nation pricing framework requiring pharmaceutical companies to sell drugs in the United States at prices no higher than the lowest price offered in comparable developed countries.

Section by Section

What each section does, and how they differ.

Sec. 1 Purpose

Directs HHS to achieve most-favored-nation pricing for prescription drugs aligned with prices in developed nations.

Sec. 2 Policy

HHS shall facilitate direct-to-consumer and Medicare programs implementing MFN price targets.

Sec. 3 Addressing Foreign Nations Freeloading on American-Financed Innovation

Commerce and USTR to ensure foreign countries not engaged in practices forcing U.S. patients to subsidize global pharmaceutical R&D.

Sec. 4 Enabling Direct-to-Consumer Sales to American Patients at the Most-Favored-Nation Price

HHS to facilitate direct-to-consumer purchasing programs at MFN prices.

Sec. 5 Establishing Most-Favored-Nation Pricing

HHS to communicate MFN price targets to manufacturers within 30 days; pursue rulemaking and importation authority if progress stalls.