Trump’s Pharma Tariff Plan Could Spark Cost and Supply Shock

President Trump has proposed imposing tariffs of up to 200% on drug imports—though he suggests starting slow and raising rates gradually, with a possible 12–18 month implementation window. The aim is to encourage domestic pharmaceutical manufacturing, bolster supply chain security, and reduce reliance on foreign imports. However, analysts warn of potential downsides: sudden price hikes, disruptions in drug availability, and higher insurance premiums. Essential medications—especially generics and cancer treatments—could become significantly more expensive or unobtainable. To offset this, manufacturers are stockpiling and investing in U.S.-based production, with investors largely desensitized to the news. Financial markets have shown limited negative reaction so far, as many see the move as phased and manageable. Still, unmet dependencies on foreign ingredients and long setup times for domestic facilities suggest this policy could lead to supply shortages and higher costs before full onshoring evolves.