Published On 6 Nov 2025
United States President Donald Trump, Eli Lilly and Novo Nordisk person unveiled a woody to slash the prices of fashionable GLP-1 weight‑loss drugs for the government’s Medicare and Medicaid programme, arsenic good arsenic for currency payers.
The deal, announced connected Thursday, is aimed astatine expanding entree to treatments done US Medicare for radical aged 65 and supra and the Medicaid programme for low-income people, which unneurotic supply healthcare sum for astir fractional of each Americans.
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US patients presently wage by acold the astir for medicine medicines, often astir 3 times much than successful different developed nations, and Trump has been pressuring drugmakers to little their prices to what patients wage elsewhere.
“It’s going to equalise the world,” Trump told reporters from the Oval Office, noting that Lilly and Novo would beryllium providing their different medications to Medicaid astatine “most-favoured-nation” prices.
The lawsuit ended abruptly erstwhile an attendee successful the Oval Office collapsed.
Starter doses of rival weight‑loss pills being developed by Lilly and Novo, if approved, volition outgo $149 per period for each Medicare and Medicaid enrollees and via the White House’s caller direct-to-consumer site, TrumpRx, elder medication officials said.
For presently disposable injectable GLP-1s utilized for diabetes and different covered wellness issues, prices would autumn to $245 per period for patients with Medicare oregon Medicaid, they said.
On TrumpRx, the mean terms of injectables and pills volition commencement astatine oregon beneath $350 monthly and is expected to inclination downwards to $245 wrong 2 years.
Lilly announced that the lowest dose of Zepbound volition beryllium disposable for $299 per month, with further doses priced astatine $449 per period for cash-paying patients nether the caller deal.
In Medicare, patients’ co-pays volition beryllium capped astatine $50 a month, officials said.
Commercial wellness insurers would besides beryllium capable to entree prices estimated to beryllium 25 percent little than existent currency prices, they said.
The authorities volition besides grow sum for GLP-1s nether the deal, officials said, to overweight patients with prediabetes oregon bosom problems, obese patients with comorbidities and severely obese patients, accounting for 10 percent of Medicare patients.
Currently, Medicare does not typically screen the drugs for obesity. Coverage successful Medicaid, which is tally by each authorities and jointly financed with the national government, varies.
The agreed prices volition travel into effect nary aboriginal than January for currency payers, by mid-2026 for Medicare patients and connected an ongoing ground for Medicaid enrollees, depending connected erstwhile states motion up.
Administration officials said the companies would get alleviation from tariffs arsenic portion of the deal. Lilly said it would beryllium exempted from tariffs for 3 years.
The officials besides said Novo and Lilly volition person fast-track regulatory vouchers for immoderate of their aboriginal drugs.
Novo’s Wegovy and Lilly’s Zepbound are the lone highly effectual GLP-1 weight-loss drugs sold chiefly successful the US arsenic play injections. List prices apical $1,000 a month, though some connection currency buyers a $499 monthly supply.
Novo Nordisk has committed to an further $10bn concern successful the US, according to a White House information sheet.
Lilly said the statement volition amended entree to medications for astir 40 cardinal Americans covered by authorities security programmes, arsenic good arsenic millions much who wage out-of-pocket.
It said it would adhd its diabetes medications – Emgality, Trulicity, and Mounjaro – to its direct-to-consumer platform, offering them astatine 50 percent to 60 percent beneath their existent database prices.
Wall Street reacts
Deutsche Bank analysts saw the woody arsenic a imaginable catalyst for Lilly’s growth. It estimated that a $150 monthly headdress could unlock entree for up to 15 cardinal Americans erstwhile applied to orforglipron, its experimental weight-loss pill that succeeded successful a late-stage trial.
Deutsche Bank said accrued uptake would travel from the estimated 20 percent of obese adults who would similar pills to needles. About 2.7 cardinal Americans presently instrumentality Lilly’s injectable Zepbound, it said.
Lilly and Novo are racing to bring oral GLP-1 treatments to market. Novo’s once-daily oral Wegovy is nether Food and Drug Administration reappraisal with a determination expected aboriginal this year, portion Lilly’s orforglipron is acceptable for regulatory submission by the extremity of the twelvemonth and a imaginable motorboat successful 2026.
BMO Capital expert Evan Seigerman said Lilly’s dominance successful the GLP-1 abstraction continues to deepen, with physicians and patients progressively favouring its drugs.
Pfizer and AstraZeneca antecedently signed caller pricing agreements tied to the TrumpRx platform.
On Wall Street, Novo Nordisk banal was down 3.6 percent since the marketplace opened. Eli Lilly was comparatively flat, up by lone 0.03 percent. Pfizer banal was up 1 percent, and AstraZeneca 3.4 percent arsenic of 2pm successful New York (19:00 GMT).

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