Published on April 20, 2026

Senate Report Says U.S. Drug Prices Keep Rising Despite Federal Pricing Deals

Prescription drug prices in the United States remain a major concern after a new Senate report found that many pharmaceutical companies continued increasing prices, even after entering pricing agreements with the Trump administration. The report, released by Senator Bernie Sanders, highlights how Americans still pay significantly more for medications than people in many other developed nations.

The findings have renewed debate over healthcare affordability, pharmaceutical profits, and whether current government pricing strategies are working.

Drug Prices Continue to Climb in the U.S.

According to the report, several major medications used to treat serious illnesses such as cancer, multiple sclerosis, and rare diseases saw notable price increases this year.

Examples include:

  • Keytruda, a cancer treatment from Merck, rose by 6% to around $210,000 annually
  • Kesimpta, a multiple sclerosis drug from Novartis, increased by nearly $10,500, reaching about $141,000 per year
  • Opdivo, another cancer drug from Bristol Myers Squibb, climbed 4% to around $260,000 annually

The report also compared U.S. prices with international markets. In countries such as Japan, France, Germany, Canada, and the United Kingdom, many of these same drugs cost substantially less.

This continues to raise concerns that American patients and insurers are paying the highest prescription medication prices in the world.

New Drugs Launching at Record High Prices

The Senate report also noted that newly approved medications are entering the market at extremely high prices.

Some examples include:

  • Inlexzo from Johnson & Johnson launched at roughly $1 million
  • Emrelis from AbbVie priced near $719,000
  • Datroway from AstraZeneca listed around $419,000

On average, newly introduced drugs were reported to cost approximately $353,000 per year.

These prices create serious affordability concerns, especially for patients requiring long-term treatment or specialty medications.

Gene Therapies Cost Even More

One of the fastest-growing pricing categories is gene therapy. These advanced treatments often target rare genetic disorders and may offer one-time or life-changing benefits, but they come with enormous costs.

The report cited:

  • Itvisma from Novartis at about $2.59 million
  • Zolgensma, also from Novartis, rising to more than $2.5 million for a single dose

While manufacturers argue these therapies can replace years of ongoing care, critics say the prices remain out of reach for many families and healthcare systems.

Are Federal Drug Pricing Deals Working?

The administration’s “most favored nation” pricing model was designed to align U.S. drug prices more closely with rates paid in other wealthy countries. However, health policy experts remain skeptical about its real impact.

Professor Stacie Dusetzina of Vanderbilt University said recent pricing announcements have lacked transparency, making it difficult to determine whether the deals are helping consumers.

Critics argue that without clearer enforcement and disclosure, some agreements may benefit drugmakers more than patients.

Why List Prices Still Matter

White House representatives reportedly responded by saying that list prices do not reflect what patients actually pay at the pharmacy counter.

That can be true in some cases because insurance coverage, rebates, and discount programs often reduce final out-of-pocket costs. However, experts note that higher list prices can still create broader financial pressure by:

  • Increasing insurance premiums
  • Raising deductibles and co-pays
  • Boosting employer healthcare costs
  • Straining public healthcare programs

As a result, even patients who never pay full list price may still feel the impact indirectly.

Pharmaceutical Profits Also Increased

The report found that drugmaker profits rose sharply last year, reaching $177 billion, compared with $107 billion in 2024.

This large jump has fueled criticism from lawmakers and consumer advocates who argue that rising profits should coincide with lower prices and better access to treatment.

Supporters of the pharmaceutical industry counter that strong profits help fund research, innovation, and development of life-saving medicines.

What This Means for Patients

For many Americans, the issue is personal. High prescription costs can lead patients to:

  • Delay filling prescriptions
  • Skip doses
  • Split pills
  • Choose between medicine and other bills
  • Accumulate medical debt

Patients with chronic illnesses, cancer, autoimmune disorders, and rare diseases often face the greatest burden because they rely on ongoing treatment.

What Could Happen Next

The Senate report may add pressure for new reforms, including:

  • Expanded Medicare price negotiations
  • Caps on annual drug price increases
  • Greater pricing transparency
  • Faster generic drug approvals
  • Importation or international reference pricing models

Whether Congress or the administration acts remains uncertain, but public attention on drug pricing is likely to intensify.

Final Thoughts

The latest Senate findings suggest that despite headline-grabbing pricing deals, prescription drug costs in the United States continue to rise. With new therapies launching at six-figure and even seven-figure prices, affordability remains one of the biggest healthcare challenges facing American families.

As policymakers debate solutions, millions of patients continue searching for one simple outcome: access to the medicines they need at prices they can afford.

Source

NBC News, April 16, 2026.

Disclaimer

This article is for informational and educational purposes only. It does not constitute medical, legal, or financial advice. Drug pricing data may change over time and may vary by insurer, pharmacy, region, and patient circumstances. Always consult qualified healthcare professionals or licensed advisors for personalized guidance.

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