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 Kozi Checks & Balances TaxTactics News 
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August 15.2025
2 Minutes Read

How Trump's Pharma Tariffs Could Raise Drug Prices for Americans

Pharmacist examining medicines in a pharmacy aisle, related to Trump Pharma Tariffs.

Understanding the Impact of Trump's Proposed Pharma Tariffs

President Trump has proposed imposing tariffs of up to 250 percent on pharmaceuticals, aiming to bolster domestic drug manufacturing. However, such tariffs could significantly raise drug prices for American consumers, reduce availability, and stifle crucial innovation in the pharmaceutical industry. The primary concern lies in how these tariffs affect both branded and generic drugs, which comprise 90% of the prescriptions filled in the US each year.

Branded vs. Generic Drugs: A Closer Look

While generics are a lifeline for many due to their affordability, they are largely produced outside the US, particularly in India. The FDA reports that about 35 percent of global active pharmaceutical ingredients (APIs) for generics come from India. Branded drugs, although accounting for only a fraction of prescriptions filled, dominate nearly 90 percent of drug spending. Tariffs could compel generic manufacturers to pass on increased costs to consumers, potentially driving more people to choose costly branded alternatives.

The Ripple Effect of Higher Drug Prices

Should these tariffs be enacted, consumers are likely to face heightened expenses and an increased risk of shortages, reminiscent of the 2024 shortage of 300 drugs, 70% of which were generics. This amplification in costs may also deter pharmaceutical companies from investing in the necessary research and development for new drugs. The challenge of producing innovative drugs, which can exceed $3 billion for development, relies heavily on the profits from current high-priced medications.

Strategies to Mitigate Tariff Impact

While some firms may consider restructuring supply chains to lessen dependency on imported drugs, it poses a high cost and time burden, ultimately leading to fewer medicines on the shelves in the immediate term. Instead of tariffs, negotiations with other countries could maintain access to generics without dramatically raising costs for consumers.

Conclusion: A Call for Caution

The implications of President Trump’s proposed tariffs warrant serious discussion, as they risk reversing his promise to lower drug prices during his second term. Policymakers must weigh the potential downsides against the ambitious goal of revitalizing domestic pharmaceutical production. Understanding the interconnectedness of our globalized drug supply chain is vital in charting a balanced approach that ensures affordability and encourages continuous innovation.

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