President Donald Trump unveiled a plan to reduce the cost of popular weight loss drugs, including Wegovy and Zepbound, through his self-pay platform, TrumpRx. The move aims to make these medications more accessible to Americans paying out of pocket.However, drug policy experts warn that the plan may not benefit everyone. Juliette Cubanski, deputy director of the Medicare policy program at KFF, said, “It’s a situation where we have more questions than answers…there’s a lot that the administration itself hasn’t even ironed out as of yet.”What is TrumpRx?TrumpRx is a self-pay online platform launched by the Trump administration to sell prescription medications, including popular weight loss drugs, at discounted prices. It is designed for patients who pay out of pocket, aiming to make high-cost treatments like Wegovy and Zepbound more affordable, as per USA Today.TrumpRx Launches Discounted Weight Loss MedicationsPresident Donald Trump unveiled a plan to reduce the cost of popular weight loss drugs, including Wegovy and Zepbound, through his platform, TrumpRx. The move aims to make these medications more accessible to Americans paying out of pocket.However, drug policy experts warn that the plan may not benefit everyone. Juliette Cubanski, deputy director of the Medicare policy program at KFF, said, “It’s a situation where we have more questions than answers…there’s a lot that the administration itself hasn’t even ironed out as of yet.”TrumpRx Zepbound Price Drop: Starting Doses OnlyThe White House confirmed that the starting doses of GLP-1 pills like Zepbound will cost $149 a month, while injections will have an initial “weighted average” price of $350, expected to drop to $250 within two years.Experts note this may not reflect real costs. Art Caplan, head of medical ethics at NYU Grossman School of Medicine, explained, as per NBC News, “You can’t really tell from what’s going on…It’s just murky as to how this will take shape, how the programs will work.”Patients often increase doses over time for effective weight loss, meaning those relying on higher doses may pay significantly more than the starting prices advertised.TrumpRx and Medicare Coverage: Limited AccessUnder the deal, Medicare will pay $245 a month for Zepbound injections, and patients’ copays will be capped at $50. Medicaid enrollees often have no copay.But Cubanski warns, “Medicare, by law, is barred from covering weight loss drugs alone,” meaning only patients with additional conditions like heart or kidney disease will qualify. Stacie Dusetzina, a health policy professor at Vanderbilt University, said as per NBC News, “Without broader coverage, millions of patients will remain priced out even as the administration touts lower costs.”TrumpRx: Unapproved Versions IncludedThe plan also covers drug forms that have not yet received FDA approval, including oral versions and multidose Zepbound pens. Lawrence Gostin, director of the O’Neill Institute at Georgetown University, described this as risky: “It is reckless to negotiate pricing deals on products which the FDA have not yet approved as safe and effective. The administration is getting way out ahead of its own safety agency.”TrumpRx Savings: Experts Urge CautionWhile the deal may seem ambitious, experts caution that actual savings for patients could be limited. Cubanski emphasized, “It just feels a little bit too squishy right now.” Dr Shauna Levy, an obesity specialist, added, “As an obesity community, I think we will remain skeptical of this deal until we see how it actually plays out.”Limitations in coverage, unapproved drug versions, and higher costs for increased doses mean the impact may be less than anticipated. Patients and healthcare providers will need to carefully navigate these changes, weighing potential savings against practical access and safety considerations.
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