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The days of affordable prescription drugs —generics included — may soon come to an end thanks to President Trump’s aggressive tariffs and the global trade war they are inciting.

Read the full story on Forbes: https://www.forbes.com/sites/alexknapp/2025/04/08/trumps-tariffs-coming-to-your-medicine-cabinet-soon/

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Transcript
00:00Today on Forbes, Trump's tariffs, coming to your medicine cabinet soon.
00:07On average, Americans pay about twice what other countries do for prescription drugs.
00:12Thanks to President Trump's aggressive tariffs and the global trade war they are inciting,
00:17they might soon pay even more.
00:20Last week, Trump made good on a core campaign promise to enact sweeping tariffs, slapping
00:25a baseline of 10% tax on imports from every country, with China, India and EU countries
00:31singled out for harsher rates.
00:34But as of Wednesday afternoon, Trump suddenly announced a pause on most reciprocal tariffs,
00:39except China, which he hit with a 125% levy, up from 104% a day earlier, after China enacted
00:46its own retaliatory tariff in an escalating trade war.
00:51Although pharmaceuticals are currently exempt, it's widely expected that won't last.
00:56In his remarks announcing tariffs last week, Trump said, quote, the pharmaceutical companies
01:01are going to come roaring back, because if they don't, they've got a big tax to pay.
01:06Suggesting it's only a question of when and how hard pharmaceutical tariffs will hit.
01:12When they do, one of the biggest losers would likely be generic drug manufacturers and, since
01:17they account for about 90% of all prescriptions in the United States, a huge segment of Americans
01:23who rely on them.
01:25About 47% of all generics prescribed in the US are made in India, which was facing a 26%
01:31tariff before Trump's pause announcement.
01:34Some, like common heart medications, cost less than a dollar a pill, a price that, if tariffed,
01:40might cause their manufacturers to reconsider the value proposition of making them.
01:44Rajiv Leventhal, a healthcare analyst at eMarketer, said, quote,
01:50Most of them are selling with low profit margins and some are operating at a loss.
01:54They could be forced to consider whether it's even worth it to be in the market.
01:58That could hurt consumers who rely on those low-cost alternatives to brand-name drugs for
02:03everything from antibiotics like penicillin to blood pressure medication.
02:08Mark Cuban, whose Cost Plus drug company manufactures and sells generic drugs, such as penicillin imported
02:14from Portugal, told Forbes that any costs elevated by tariffs will absolutely be passed through
02:20to patients.
02:22For some generics, costs could become excruciatingly high.
02:25ING analyst Diedrich Stadig estimated that a 24-week course of generic cancer medication could
02:32run as high as $10,000 under a 25% tariff.
02:37Name brand medications are likely to be hard hit as well.
02:41Weight loss medication Wegovi, cancer immunotherapy drug Keytruda, and HIV drug Norvir are manufactured
02:48in European Union countries, which were facing a 20% tariff.
02:53For a patient whose insurance doesn't cover Wegovi, that could mean an extra $100 a month
02:59if Novo Nordisk passed on the whole tariff cost.
03:03And a recent analysis published in the Journal of the American Medical Association suggested
03:07that tariffs on Canadian pharmaceuticals alone would increase annual drug costs in the
03:12U.S. by $750 million a year.
03:16Even if a drug is manufactured in the United States, it could still be impacted by tariffs.
03:21Nearly 90% of American biotech companies rely on imported components for a significant portion
03:27of their FDA products, according to a survey from trade industry group Bio.
03:33Cancer drug Imbruvica, for example, imports a key ingredient from China, which also produces
03:38about 72% of the pharmaceutical ingredients imported to the U.S.
03:43That's unlikely to change anytime soon, because there's simply not enough domestic manufacturing
03:48capacity to meet demand.
03:51Nearly half of the responding biotechs said that finding alternative suppliers could take
03:56more than two years.
03:59Orr Inbar, CEO of consultancy service QuantHealth, notes that one consequence of a trade war is
04:04that if it snowballs, some larger pharma companies may find themselves building multiple manufacturing
04:10facilities across the globe to avoid tariffs.
04:14While that might help mitigate their impact, it would still raise costs.
04:17He said, quote, the more sites you have, the more overhead and management costs you have.
04:24And those costs would ultimately be passed on to consumers.
04:30For full coverage, check out Alex Knapp's piece on Forbes.com.
04:35This is Kieran Meadows from Forbes, thanks for tuning in.
04:39Kieran Meadows from Forbes, thanks for tuning in.

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