A centerpiece of President Trump’s push to make prescription drugs more affordable is a government website for drug discounts that bears his own name. TrumpRx, launched in February, now has 92 offerings on brand-name prescription drugs made by pharmaceutical companies that announced highly publicized deals with the Trump administration. But nearly six months since the
A centerpiece of President Trump’s push to make prescription drugs more affordable is a government website for drug discounts that bears his own name. TrumpRx, launched in February, now has 92 offerings on brand-name prescription drugs made by pharmaceutical companies that announced highly publicized deals with the Trump administration.
But nearly six months since the website launched, those deals on TrumpRx represent less than 12% of the more than 800 brand-name drugs made by participating pharmaceutical companies.
TrumpRx does not offer a wide range of medications, including treatments for inflammatory conditions, HIV and cancer, according to an NPR analysis of a database of drugs on the market maintained by the Food and Drug Administration.
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“The key takeaway is that most of these companies are doing this for a small number of products and in a limited setting,” says Dr. Ben Rome, a health policy researcher and physician at Brigham and Women’s Hospital in Boston. “They’re not committing to doing this on a large scale.”
TrumpRx touted as a marketplace for better drug prices
TrumpRx’s origins date back to the Trump Administration’s May 2025 executive order aimed at aligning U.S. drug prices with those paid by other wealthy countries or below them. Last summer, the administration sent letters to 17 pharmaceutical companies with a list of demands.
The lawsuits included selling drugs directly to consumers at lower prices, something some pharmaceutical companies, such as Eli Lilly and Novo Nordisk, had already begun doing.
Drugmakers had 60 days to voluntarily comply with the administration’s demands or, the letters said, “if you refuse to come forward, we will deploy every tool in our arsenal to protect American families from continued abusive drug pricing practices.”

Then came closed-door negotiations, which included the threat of tariffs stemming from an investigation into whether pharmaceutical imports posed a threat to national security.
Although the text of the agreements has not been made public, the administration began announcing the pacts in the fall, starting with Pfizer. It was also when the administration announced it would create TrumpRx, a government website for direct-to-consumer discounts.
TrumpRx launched on February 5 with 43 drugs made by five of those companies.
“I think it’s the most important thing that’s happened in health care in many, many decades,” President Trump said during the launch event at the Eisenhower Executive Office Building, next to the White House. All 17 companies that received letters announced deals with the Trump administration, which they concluded with Regeneron in April.
A limited menu of brand-name medications
As of mid-July, there are 92 brand-name drugs on TrumpRx from 15 of the 17 companies that announced deals with the Trump administration. But those companies make more than 800 brand-name drugs that are on the market today, according to NPR’s analysis of a Food and Drug Administration database of marketed drugs.
Pfizer has 30 drugs listed on TrumpRx, by far the most drugs on the site. But those drugs represent a fraction of the company’s portfolio of at least 178 brand-name drugs on the market.
Additionally, some of Pfizer’s top revenue-generating drugs are not offered at the TrumpRx discount, according to financial documents. These include Eliquis, Pfizer’s blood thinner marketed with Bristol Myers Squibb, and Ibrance, a drug for advanced and metastatic breast cancer. Pfizer’s COVID treatment drug, Paxlovid, is also not found in TrumpRx.
Pfizer offers its blockbuster Xeljanz pill for inflammatory diseases like rheumatoid arthritis for $1,518 at TrumpRx, a discount equal to 53% off the brand name price. But Xeljanz is now also available as a generic, called tofacitinib, which can be purchased for about $30 for a bottle of 60 tablets for out-of-pocket patients on Mark Cuban’s Costplusdrugs.com website.
Pfizer said in a statement that it was offering savings of up to 85% off its label prices on more than 30 drugs, spanning several treatment areas. “We will continue to make periodic evaluations and adjustments as the program evolves,” Pfizer spokesperson Kat Romaniuk wrote in an email to NPR.
Gilead and Regeneron announced deals with the Trump Administration that included TrumpRx discounts and still have no drugs on site. The companies told NPR they will add one drug each: Gilead’s Epclusa for hepatitis C and Regeneron’s Praluent for bad cholesterol. But it has not been determined when those drugs will appear at a discount on TrumpRx, the companies said.
Generic alternatives surpass some of the presidential agreements
In May, TrumpRx added hundreds of generic medications available from partners such as Cost Plus Drugs and Amazon Pharmacy. The site was then effectively divided in two. There is a tab for “presidential deals” on brand name medications that have the lowest prices available on the site. A second tab is for drugs with “standard prices,” which include generics and some brand-name drugs that cost more than generic options.
NPR found that at least some of the 79 drugs in the presidential deal in TrumpRx also have generic competition. For example, Januvia and Janumet, two of the three Merck drugs listed as TrumpRx presidential offerings, are available as generics.
At $84.57, Janumet at TrumpRx is a better deal than the generic version sold at CostPlusDrugs, where it costs $142.31 for the same strength and number of tablets. Pristiq, a Pfizer medication for major depressive disorder, is a presidential bargain listed on TrumpRx for $200.10, but its generic costs less elsewhere: between $20 and $30 with a GoodRx coupon, depending on which pharmacy the patient wants to use.
But Merck’s flagship drug, Keytruda, a treatment for several types of cancer, is not available at a discount at TrumpRx and is not yet available as a generic. The oral cancer drugs Lynparza and Lenvima are also not available. Merck did not respond to requests for comment in time for publication.
Rena Conti, a health economist at Boston University, says it’s telling that companies haven’t added some of their most popular and crucial drugs.
“Companies offer deals on the products they choose, not the universe of products they offer,” he says. “And that, consequently, sounds good and may help a small proportion of people who buy these products at cash prices but it does not help all the consumers of their products.”
TrumpRx could boost sales a little, he says, and offering discounts to consumers who pay cash won’t hurt drugmakers much. The insured market is where they make most of their money.
He adds that many consumers with health insurance would be better off simply using their coverage to pay for medications, whether those medications appear on TrumpRx or not. Insurance copays will be cheaper than discounts, he says.
TrumpRx can fill insurance gaps
Still, TrumpRx can be useful, particularly for patients whose medications are not covered by their insurance plans, such as people undergoing fertility treatments and people seeking obesity medications, says Rome, of Brigham and Women’s Hospital.
“But that’s not the majority of prescription medications,” he says. “It’s not the majority of patients who need prescription medications.”
The top of the TrumpRx website says it has saved Americans more than $400 million. But that statistic hasn’t been updated in more than a month and is difficult to verify.
NPR did not receive a response from the White House about how many patients have used the site and the specific medications people most frequently purchased from TrumpRx.
Some pharmacists have had patients come in looking for TrumpRx prices, says Ronna Hauser, senior vice president of pharmacy policy and affairs at the National Community Pharmacists Association. “I wouldn’t say it’s extremely common.”
Most patients who mention TrumpRx are looking for discounts on GLP-1, he says.
GoodRx, which is a website that helps patients find discounts on prescription drugs, has been a key partner for TrumpRx, providing the coupon infrastructure that works within the existing healthcare system. When someone uses a TrumpRx coupon for a brand name medication at the pharmacy counter, GoodRx processes the claim at the end.
The company told investors in May that it was “seeing encouraging traction” from the site, adding that “early data shows strong concentrated demand for GLP-1 therapies… expanding access to new patients rather than shifting existing demand.”
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