Foreign Price Setting

Most Favored Nation drug pricing would import harmful foreign pricing policies—putting patient access and America’s innovation leadership at risk.

Price Setting Doesn't Help Patients

A flawed policy known as Most Favored Nation (MFN) drug pricing would tie U.S. drug prices to prices set by foreign countries. That might sound like a simple solution—but it isn’t guaranteed to lower costs for patients and comes with serious risks:

  • Slows the development of new treatments and cures
  • Threatens billions in U.S. research and development
  • Undermines American innovation and our global competitiveness
  • No guaranteed savings for patients at the pharmacy counter=


This isn’t just about policy—it’s about people. Foreign price setting puts future cures at risk by discouraging investment in U.S. research and development. For patients and families hoping for the next breakthrough, that delay could be life-changing—or life-threatening.

“Bringing that approach here would make it less likely that new mental health medications would ever reach the market. That would be a step backward when breakthroughs are bridging a new offer of hope.”
— Jennifer, Nurse & Patient Advocate

What Congress Can Do

There are smarter, immediate ways to lower drug costs without importing flawed policies.

  • Hold PBMs accountable: Pharmacy benefit managers (PBMs) pocket massive discounts while charging patients full price. Fixing the PBM system is a practical, bipartisan solution that can lower drug costs and help patients immediately.
  • Reform 340B hospital markups: Increase transparency and add guardrails to ensure patients benefit from discounted drug prices.
  • End foreign freeriding: Require other developed nations to pay their fair share.

Take Action

Tell Congress: Support real solutions that lower costs for patients today, not foreign price controls