Biopharma


June 18, 2025

Rx Advertisements & RFK: Legal Guardrails

By John Leppard

Amid reports that HHS is considering steps to curtail direct-to-consumer (DTC) drug advertisements – with negative implications for high spenders in this area [ABBV, NVO, REGN] – we see significant impediments to how far /…

Read More >>

May 12, 2025

Rx Pricing’s Lucy & the Football Moment?

By John Leppard

Investors should view today’s drug pricing Executive Order (EO) with relief, and while the biopharma industry remains on notice for potential future regulatory actions, we suspect the courts would intervene to stop any overly broad…

Read More >>

May 7, 2025

Rx MFN Announcement Monday?

By John Leppard

Apropos of our note on the subject earlier today, there are reports this afternoon that as early as Monday, May 12 President Trump “is expected to sign an executive order directing aides to pursue ……

Read More >>

May 7, 2025

Rx Most Favored Nation (MFN) Estimates

By John Leppard

We continue to assign ~35% odds to Congress including Medicaid Most Favored Nation (MFN) price controls into its broader reconciliation bill given: (A) the complexities of such a policy; (B) the expedited timeline lawmakers are…

Read More >>

April 17, 2025

Rx Executive Order: Style of Substance

By John Leppard

Despite investor fears of a return of Most Favored Nation (MFN) pricing efforts under Trump, explicit endorsement of such a policy is notably absent from this week’s Executive Order (EO) on drug pricing, despite multiple…

Read More >>

April 15, 2025

Rx Tariff Timing & Supply Chain Implications

By John Leppard

With the Trump administration announcing its long-anticipated Section 232 pharmaceutical investigation yesterday, laying the foundation for eventual tariffs on the space, we expect this to move much quicker than the typical 232 case (e.g., 2-3…

Read More >>

April 4, 2025

[NVO, LLY] No Medicare / Medicaid Coverage for Obesity Drugs

By John Leppard

With no more than a perfunctory reference this afternoon, CMS announces that it will not be finalizing a Biden proposal to allow Medicare Part D plans to cover anti-obesity medications (AOMs) while requiring it of…

Read More >>

January 17, 2025

[NVO, BHC, TEVA] Quantifying IRA Price Negotiation Risks

By John Leppard

Our analysis of the drugs included in the CY27 cycle of price negotiations under the Inflation Reduction Act (IRA) announced this morning implies a 3%-4% headwind for NVO relative to consensus CY27 revenues, with a…

Read More >>

November 27, 2024

LLY, NVO, HIMS: GLP-1 Coverage Questions & Implied Sales

By John Leppard

Following our pre-rule report yesterday on CMS’s proposal to extend Medicare / Medicaid coverage to anti-obesity medications (AOMs), we update our assumptions below based on the details included in the release itself. More specifically: We…

Read More >>

November 26, 2024

[LLY, NVO] Quick Takes on Obesity Coverage Surprise

By John Leppard

While likely implying a ~2% revenue tailwind for LLY and NVO, if implemented, we take a cautious view of this morning’s surprise White House announcement that it intends to facilitate broader Medicare / Medicaid coverage…

Read More >>