Axendia SftS The Impact of Most Favored Nation Pricing Executive Order

The Impact of the Most Favored Nation Pricing Executive Order

An Axendia “Straight from the Source” Episode

In the debut episode of Straight from the Source, Axendia’s President Daniel R. Matlis and Senior Industry Analyst, Sandra K. Rodriguez unpack one of the most significant U.S. healthcare policy moves in years: the Executive Order on Most Favored Nation (MFN) drug pricing.

Image Source: Axendia, Inc.

The conversation goes beyond the headlines to examine the order’s intent, industry response, and what it signals for the future of pharmaceutical innovation, manufacturing, and access. Here are the highlights:

What does the Executive Order Mean to the Industry?

The MFN Executive Order  aims to eliminate global price disparities by requiring U.S. drug prices to match the lowest price offered in other developed nations. While this may sound simple, the implications are far-reaching.

“The same drug, made in the same plant by the same company, is priced differently depending on geography. That doesn’t happen in most industries,” noted Matlis. 

Pharmaceutical companies will face mounting pressure to renegotiate global pricing, improve discovery, accelerate time to market, increase manufacturing efficiency, and explore new models—like direct-to-consumer distribution— to remain viable in a more constrained environment.

Industry Response and Global Ramifications

Life sciences stakeholders responded quickly—and forcefully. Industry leaders argue that aligning U.S. prices with lower international benchmarks could destabilize global market access and innovation.

Although the U.S. accounts for just 5% of the world’s population, it drives 75% of pharmaceutical profits according to the Whitehouse. Trade groups such as PhRMA and BIO warned the order could jeopardize innovation and devastate small and mid-sized biotech companies.  Others, including the Healthcare Distribution Alliance, raised concerns over supply chain disruptions and patient access. As Rodriguez pointed out, the true impact will depend on how the administration defines key terms and how negotiations with manufacturers unfold.

Strategies to Build and Drive Transformation

The conversation closes with a forward-looking message: industry resilience isn’t about surviving this policy—it’s about transforming for what’s next.   

“This is not about technology alone—it’s about organizational transformation,” said Matlis. He emphasized that aligning business goals, breaking down functional silos, and fostering collaboration are foundational steps. Simply automating bad processes won’t cut it. “We make 5-sigma products with 3-sigma processes—and we make up the gap by throwing people at the problem,” he added.

Rodriguez reinforced that “We’re in the age of continuous disruption. The focus must be on building resilience from an organizational, operational, regulatory, and technological standpoint.” She stressed that organizations must look inward, reimagine the way they operate, and empower teams with modern platforms and shared goals. As companies navigate smart shoring, modernization, and policy change, she concluded: “These facilities won’t just be modern—they will define what the Factory of the Future looks like in the U.S.”

In Brief

This moment isn’t about incremental upgrades—it’s about transforming organizations to thrive in a new era of continuous disruption.

For candid insights on how policy, technology, and global dynamics are reshaping life sciences, follow Axendia to stay informed.

No spin. No headlines. Trusted Life Science Advice-“Straight from the Source”. Watch this episode here.

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The opinions and analysis expressed in this post reflect the judgment of Axendia at the time of publication and are subject to change without notice. Information contained in this post is current as of publication date. Information cited is not warranted by Axendia but has been obtained through a valid research methodology. This post is not intended to endorse any company or product and should not be attributed as such.

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