White House Announces Actions to Lower Costs and Expand Access to IVF Services

November 13, 2025

medicaid Medicare

On Oct. 16, President Trump announced a MFN deal with EMD Serono. Similar to the previously announced Pfizer and AstraZeneca deals, the agreement includes the following components: 1) providing every state Medicaid program access to MFN prices on most products, 2) guaranteeing MFN prices on all new-to-market products, 3) offering certain medicines at a discounted price when selling directly to Americans through TrumpRx, and 4) provide a three-year tariff exemption to the manufacturer in exchange for investments in U.S. manufacturing and research and development.

The announcement focused on EMD Serono’s fertility therapies as the administration used the new deal to outline additional actions it was taking to expand access to in vitro fertilization (IVF) treatments, including an accelerated review of EMD Serono’s new lower-cost fertility drug and new legal pathways for employers to offer fertility benefits as an “excepted benefit,” similar to dental, vision, and life insurance.

Evernorth’s specialized fertility pharmacies (Freedom Fertility and VFP Pharmacy) were named as pharmacy partners for TrumpRx, anticipated to launch in 2026. In conjunction with the launch of TrumpRx, Evernorth will dispense EMD Serono treatments for infertility (GONAL-f, Cetrotide, and Ovidrel) purchased through the platform at a low cost, combined cash price, which will be the lowest in the market.

Initiatives

Calls grow for Drug Patent reform

In a recent blog post, the Pharmaceutical Care Management Association (PCMA) highlighted increased attention to pharmaceutical companies’ abuse of drug patents. Last month, the Supreme Court unanimously ruled in favor of a generic drugmaker in a “skinny labeling” case, a victory for patients. Skinny labels allow generic and biosimilar competitors to launch products for non-patented indications, helping accelerate […]
read more >

August 11, 2026

EGWP marketplace medicaid Medicare

perspectives

AHIP calls for Bipartisan reform to address health care cost drivers

On July 23, AHIP President and CEO Mike Tuffin wrote an opinion piece in The New York Times saying, “common-sense bipartisan reforms are needed to promote competition in care delivery and prescription drugs, protect consumers from providers and drugmakers’ anticompetitive practices and transition away from the perverse incentives of fee-for-service medicine.” Tuffin notes that health […]
read more >

August 11, 2026

EGWP marketplace medicaid Medicare

Solutions

PCMA urges preserving patient access and flexibility in new fertility benefits rule

PCMA recently submitted comments to HHS, DOL, and the Treasury (the Departments) in response to the proposed rule establishing a new category of limited excepted benefits for fertility services. PCMA supports the Departments’ goal of expanding access to fertility care while encouraging employer innovation but urged several targeted refinements to ensure the framework is operationally […]
read more >

August 11, 2026

marketplace medicaid

You may also like