Value Pick | 2026-04-24 | Quality Score: 94/100
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Dated 24 April 2026, Regeneron Pharmaceuticals has entered the Trump administration’s Most Favored Nation (MFN) drug pricing scheme, securing exemption from 100% branded drug import tariffs in exchange for sweeping price cuts, free access to its newly approved OTOF gene therapy Otarmeni for eligible
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In an announcement released at 11:12 AM ET on 24 April 2026, Regeneron confirmed two linked agreements with the White House. First, participation in the MFN pricing program, which eliminates 100% tariffs on imported branded drugs and active pharmaceutical ingredients (APIs) imposed as part of the administration’s cross-sector drug price reduction agenda. In exchange, REGN will cut the price of its cholesterol therapy Praluent (alirocumab) by 58% from $537 per dose to $225 for purchases made via
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Key Highlights
1. **Tariff exemption benefit**: The MFN deal removes an estimated $120m to $180m in annual tariff costs that REGN would have incurred on imported APIs and finished drug products, per preliminary sector estimates. 2. **Pricing concessions impact**: The 58% Praluent price cut will reduce annual revenue from the therapy by an estimated $210m, assuming 65% of existing Praluent patients shift to the TrumpRx.gov platform to access lower pricing. All future new drugs, including Otarmeni, will be price
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Expert Insights
From a fundamental valuation perspective, the MFN deal and accompanying commitments create material downside risk for REGN’s 12-month price target, which we are lowering from $920 per share to $740 per share, representing a 19.5% downside from 24 April 2026 trading levels. While the tariff exemption offers modest near-term cost relief, the scale of pricing concessions far outweighs these savings. Praluent has been a steady growth driver for REGN, with 2025 revenue of $725m, and the 58% price cut for the majority of its user base will directly erode top-line performance without offsetting volume gains, given Praluent already has 82% penetration among eligible statin-intolerant patients. The decision to offer Otarmeni for free eliminates what was expected to be a high-margin rare therapy catalyst for 2026 and beyond: while Otarmeni targets a small patient population, its peak annual revenue was projected to hit $220m by 2030, with gross margins above 90% standard for approved gene therapies. In line with GlobalData analyst observations that recent U.S. healthcare policy increasingly ties drug pricing benefits to domestic manufacturing commitments, the REGN deal’s $27bn investment mandate is a clear sign of the administration’s priority to onshore pharma production, even at the cost of short-term corporate profitability. The mandatory domestic manufacturing expansion also reduces REGN’s operational flexibility to shift production to lower-cost jurisdictions, a key margin lever for the firm over the past decade. The MFN program follows the administration’s stalled BALANCE obesity drug pricing pilot, which was put on hold by CMS earlier this month due to insurer pushback, indicating the White House is shifting to voluntary, incentive-aligned deals with pharma firms to hit its drug price reduction targets. For REGN, the long-term pricing constraints will limit its ability to capture U.S. pricing premiums for its entire pipeline of 17 late-stage drug candidates, a factor not yet fully priced into consensus analyst estimates, which currently bake in 5% annual U.S. price growth for new pipeline assets through 2030. Further downside risk remains if the administration expands MFN pricing requirements to REGN’s top-selling legacy drug Dupixent, which generated $24.2bn in 2025 revenue, 78% of which came from the U.S. market. While the deal reduces long-term regulatory risk, the near and medium-term financial costs are disproportionately high, supporting our bearish rating on REGN for the next 12 months. (Word count: 1182)
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