Biopharma


June 17, 2026

Rx MFN: Sector Risk Inbound?

By John Leppard

Yesterday’s disclosure by the Office of Management & Budget (OMB) that it is reviewing a finalized Medicare Part D Most Favored Nation (MFN) policy suggests the administration likely intends to move forward with its late…

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April 6, 2026

Rx Tariffs: Caveats & MFN Read-Through

By John Leppard

The White House’s biopharma tariffs announced last week [Fact Sheet] strike us as an aggressive effort to secure additional onshoring and most favored nation (MFN) pricing agreements with manufacturers, but the clock is likely ticking…

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March 24, 2026

Rx Pricing: MFN “Deals” & Legal Landmines

By John Leppard

Our review of comment submissions for CMS’s most favored nation (MFN) drug pricing model proposals in Medicare Part D (GUARD) and B (GLOBE) leave us with just ~30% odds of their being implemented. The risk…

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March 9, 2026

[LNTH] Pylarify 2.0 Payment Pathway

By John Leppard

Following FDA approval of LNTH’s Pylarify TruVu late Friday, we continue to expect CMS to provide a three-year transitional pass-through (TPT) payment for hospital outpatient services effective Oct. 1, 2026, with our best estimate on…

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December 21, 2025

Rx Model Risks: So Much For “Deals”

By John Leppard

CMS’s mandatory Medicare Part D (here) / Part B (here) international drug pricing model proposals released Friday suggest that – besides an ostensible reprieve from as yet unrealized tariffs – recent drug manufacturer “deals” with…

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November 5, 2025

[LLY, NVO] Obesity Rx Deal Expectations

By John Leppard

Following reports yesterday [here, here] that the White House may announce an agreement with LLY and NVO as early as tomorrow to make obesity products available for $149 / month, “in return for coverage” under…

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October 1, 2025

Rx Pricing: More Shoes to Drop or Clearing Event?

By John Leppard

The White House’s Rx pricing agreement with PFE yesterday – with the promise of additional company deals next week – may provide industry with some incremental goodwill, but we are dubious that it takes broader…

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September 25, 2025

Rx Pricing: MFN Demo Incoming?

By John Leppard

The White House’s Office of Management & Budget’s (OMB) disclosure this morning that it is reviewing what appears to be a Most Favored Nation (MFN) drug pricing model is consistent with our long-held expectations, if…

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September 10, 2025

Rx Advertising: Policy Quick Take

By John Leppard

While we can at this point give no better than tossup odds to FDA plans to curtail direct-to-consumer (DTC) drug advertisements surviving inevitable legal challenges, we caution that the enforcement approach outlined by the agency…

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August 12, 2025

Rx Most Favored Nation Company Risks

By John Leppard

With President Trump demanding “binding commitments” from drug manufacturers to offer Most Favored Nation (MFN) pricing by Sept. 29, we outline company-specific revenue risks and our expectations for an eventual regulatory proposal in 4Q25 /…

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