Trump’s Drug Cost Push Helps Astellas Win Higher Price in Japan

March 10, 2026, 9:00 PM UTC

President Donald Trump’s push for lower US drug prices has unexpectedly helped Astellas Pharma Inc.secure higher reimbursement pricing for its new eye medicine in Japan.

The Tokyo-based drugmaker, in a submission to Japanese officials, argued that domestic drug costs could influence US pricing under Trump’s proposed most-favored nation scheme. Following this, Astellas won a reimbursement level for Izervay that was more generous than typical outcomes, Chief Executive Officer Naoki Okamura said in an interview.

Naoki Okamura
Photographer: Toru Hanai/Bloomberg

“We leveraged this most favored nation dialog,” Okamura said. He believes Izervay got “relatively reasonable pricing” in Japan.

Izervay won conditional approval in ...

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