Japan could become one of the first countries in the world to end the HIV epidemic, says the president of Gilead Sciences Japan, Kennet Brysting. The idea for now could seem a little too ambitious, but it is not entirely unrealistic, given that the availability of medicines that can prevent transmission of HIV. Drugs are not the cure, but control over the spread of virus to the point where the disease is no longer a major public health threat.

What Is The Role Of Preventative HIV Medicines?

Gilead's have two key drugs, Truvada and lenacapavir. These two are playing a crucial role in prevention. Truvada is taken as a daily pill, while lenacapavir requires two injections per year. It can make the virus undetectable in infected individuals and prevent transmission to those who are not infected yet. In trials, lenacapavir showed 100% efficacy in preventing HIV infections. This is why it is describe as "almost a vaccine".

In 2024, Japan also approved Truvada for HIV prevention, but the country has yet to approve lenacapavir for the same. Until now, people in Japan had been importing generic versions of Truvada or purchasing it from clinics that source it from overseas.

HIV In Japan

Up until now, Japan reported around 25,000 HIV infections, whereas 669 new cases were reported in 2023. For seven consecutive years, the number of new infections remained under 1,000. The downward trend thus shows that the virus has been controlled, however, getting to zero new infections remains the ultimate goal.

Brysting too acknowledged that simply having effective drug is not enough. What is important is to have a proper implementation, access and healthcare support to make sure that these treatments are widely available and effective.

What Are The Challenges In Implementation?

The biggest challenges is testing rates. There is a need to increase testing rates. At this very moment, around 86% people infective with Japan have been tested, but the goal is to increase it up to 95%, with an ideal goal of 100%. Without widespread testing, many infected people may not even know that they are infected and it could transmit the virus.

Another measure issue is the cost of preventative medication. While Japan's health insurance covers treatments for diseases, it does not cover preventative drugs. Those who purchase Truvada for prevention, pay around $470 per month. Some clinics in Tokyo offer generic alternatives too, which is cheaper, but they are not ideal.

Better Healthcare Support

Brysting expressed concern that individuals importing medications might not be consulting doctors regularly, which is essential for monitoring HIV status and overall health. Truvada users need to be tested for HIV initially and every three months, along with screenings for other infections and kidney function checks. Without proper medical supervision, there is a risk of misuse and inadequate protection.

Gilead is in discussions with Japanese authorities to improve access and insurance coverage for Truvada, and progress is being made. Japan has shown efficiency in approving critical medicines, as seen during the COVID-19 pandemic when Gilead’s remdesivir was approved in just three days.

What Is The Way Ahead?

Gilead at this moment is not only focused on HIV and hepatitis C, but also expanding into oncology with innovative treatments like CAR-T cell therapy, which strengthens a patient's immune system to fight cancer.

However, Japan’s strict approval processes can slow down drug availability. Phase 3 clinical trials often need to be conducted within the country, and Japan tends to approve medicines much later than other regions. For instance, Truvada was approved for prevention in Japan 12 years after the U.S. and nearly 20 years after its approval for treatment. inancial factors also play a role. The Japanese government adjusts drug prices annually, often reducing them, which can make long-term investment challenging for pharmaceutical companies.

TrumpRx: US President Donald Trump had announced this week that his administration plans to roll out a new website, called TrumpRx, which will allow Americans to purchase prescription medications from pharmaceutical companies at discounted rates.

In a major step to address rising drug costs, the Trump administration also unveiled agreements with Eli Lilly and Novo Nordisk to reduce prices for popular GLP-1 medications like Ozempic, Wegovy, and Zepbound. These deals, part of the TrumpRx initiative, are expected to make the drugs more affordable for Medicare, Medicaid, and direct consumers starting in 2026.

Trump Annoucement Today: What Is TrumpRx?

TrumpRx is an online platform designed to let consumers buy prescription medicines directly from the manufacturers, bypassing insurance intermediaries. The website is scheduled to launch in early 2026. Users will be able to search for the specific drug they need and be directed to the drug’s manufacturer, according to USA Today. The platform will offer prices closer to what national health services pay in other countries, following the principle of “most favoured nation” pricing. Medicaid beneficiaries—federal insurance for low-income adults and children—will also have access to the platform.

TrumpRx: Will The New Website Slash Prescription Drug Prices?

The website is part of a broader effort by Trump to curb high prescription drug costs in the US. In July, he sent a letter to the CEOs of 17 pharmaceutical companies demanding lower prices.

In the letter, he outlined several key points:

• Manufacturers must provide MFN (most favoured nation) prices to all Medicaid patients.
• Companies must ensure that new drugs are not sold at lower prices in other developed nations than in the US.
• Manufacturers will have an option to sell directly to patients, cutting out middlemen, but prices cannot exceed the lowest rates in other developed countries.
• Trade policies will be leveraged to support higher international pricing, with any additional revenue abroad reinvested to reduce costs for American consumers and taxpayers.

TrumpRx: Who Will Benefit Most From This Platform?

Anyone looking to buy prescription drugs directly from manufacturers, rather than through insurance, could benefit. A 2024 US Census Bureau report noted that 8% of Americans (about 26 million people) lacked health insurance in 2023, meaning they could significantly benefit from lower prices. Medicaid may also benefit, as its deal with Pfizer offers better pricing terms. Details about how this part of the program will work are not fully clear yet. Since most Americans rely on insurance for healthcare, experts believe initial adoption of the site may be limited.

TrumpRx: Trump Announces Deal With Drugmakers to Lower Cost of Weight-Loss Drugs

On Thursday, President Trump announced deals with Novo Nordisk and Eli Lilly to cut costs for the lowest doses of their popular weight-loss drugs, lowering barriers for new patients seeking treatment. Beyond government programs, the same GLP-1 drugs will be available directly to consumers via TrumpRx.gov, launching in January 2026.

The starting doses of injectable Wegovy and Zepbound will cost $350 per month but are expected to trend down to $245 over two years. Oral versions, including Novo Nordisk’s upcoming semaglutide pill and Eli Lilly’s orforglipron, will start at $149 per month once approved.

Trumprx: President Donald Trump on Thursday unveiled agreements with Eli Lilly and Novo Nordisk aimed at cutting the prices of some of their obesity medications, including upcoming pills. The move is designed to make these expensive, blockbuster treatments more accessible to Americans.

Trump Announcement Today: GLP-1 Drugs to Become Affordable for Medicare and Medicaid Beneficiaries

The deals will reduce costs for GLP-1 drugs for Medicare and Medicaid recipients starting in 2026. The Trump administration also plans to sell the medications directly to consumers at a discount via a new website, TrumpRx.gov, launching in January. For the first time, Medicare will cover obesity treatments, which could encourage private insurers to follow suit. Certain Medicare patients will pay just $50 per month for all approved GLP-1 therapies, including those for diabetes and obesity, as per USA Today.

Trumprx: Wegovy, Zepbound, and Upcoming Pills Set for Price Cuts

Starting doses of upcoming obesity pills from Eli Lilly and Novo Nordisk, pending approval, will cost $145 per month for those using Medicare, Medicaid, or TrumpRx. Novo Nordisk’s oral version of Wegovy may enter the market by year-end, while Eli Lilly’s pill, orforglipron, could launch next year. Existing injections, such as Wegovy and Zepbound, will be available at $350 per month on TrumpRx, trending down to $245 per month over two years, as per NBC News.

Trump highlighted that these drugs have rarely been covered by Medicaid and were previously not covered by Medicare for weight loss. “They’ve often cost consumers more than $1,000 per month… That ends starting today,” he said.

Trump Announcement: Most Favoured Nation Policy Expands Access

The announcements are part of the Trump administration’s ongoing push to tie U.S. drug prices to the lowest international costs under the most favored nation policy. Trump has previously reached similar deals with Pfizer, AstraZeneca, and EMD Serono.

HHS Secretary Robert F. Kennedy Jr. said this move will have a “dramatic effect on human health,” noting that all Americans, including those not on Medicaid or Medicare, will benefit from lower GLP-1 drug prices.

Eligibility and Coverage Under Medicare

• Medicare coverage will prioritize three groups:
• Overweight patients (BMI >27) with prediabetes or cardiovascular disease.
• People with obesity (BMI >30) and uncontrolled hypertension, kidney disease, or heart failure.
• Individuals with severe obesity (BMI >35).

About 10% of Medicare beneficiaries are expected to qualify for GLP-1 therapy for obesity, cardiovascular, and metabolic benefits.

Eli Lilly and Novo Nordisk Commit To Expanded Discounts

Eli Lilly and Novo Nordisk also agreed to extend lower government pricing to all 50 Medicaid programs, provide most favored nation pricing on new medicines, and offer similar discounts on their existing drugs via TrumpRx.

Eli Lilly will additionally reduce prices on its direct-to-consumer platform, LillyDirect, where Zepbound will be available starting at $299 per month for the lowest dose. Eli Lilly’s upcoming pill will start at $149 per month.

Background on Obesity Drug Coverage

Previous efforts to cover obesity drugs under Medicare, including a proposal by former President Joe Biden, were not finalized due to costs and controversy. Health experts argue that broader access could reduce long-term expenses related to obesity-related conditions.

Semaglutide is also slated for Medicare price negotiations under the Inflation Reduction Act, while tirzepatide, the active ingredient in Zepbound, may not be part of such negotiations until the decade’s end.

Wegovy: Eli Lilly and Novo Nordisk are reportedly preparing to finalize agreements with the Trump administration that could significantly reduce the cost of their blockbuster weight loss medications in return for Medicare coverage, according to a White House source quoted by Reuters on Tuesday.

Patients in the United States pay some of the highest prices in the world for prescription drugs—often nearly triple what consumers in other developed nations spend. President Donald Trump has been urging major pharmaceutical companies to bring prices down to align more closely with global standards.

Trumprx: Cost of Weight Loss Drugs Is Finally Dropping

Two of the most sought-after medications, Wegovy and Zepbound, currently cost more than $1,000 a month at list price. The high cost has made them unaffordable for many Americans, especially those without insurance or whose plans do not cover the drugs. A survey by the health policy group KFF in May 2024 found that about half of adults taking these medications find it difficult to manage the expense.

However, that may soon change. The Trump administration is expected to unveil a new deal with Eli Lilly and Novo Nordisk that would cut the monthly price of certain weight loss drugs to under $150. The official announcement is set for November 6, marking a major step toward making these treatments more accessible.

What Price Cap Did Trump Negotiate for Weight Loss Drugs?

According to reports from Endpoints News and The Wall Street Journal, the agreement would set the lowest dose of Lilly’s and Novo’s weight loss drugs at $149 per month. In exchange, the companies would gain Medicare coverage for their products—a milestone for obesity treatments, which are not currently included under Medicare.

Both Lilly’s Zepbound and Novo’s Wegovy have been immensely popular but remain out of reach for many due to high prices and inconsistent insurance coverage.

TrumpRx to Offer Discounted Weight Loss Drugs?

Separately, The Wall Street Journal also noted that the administration is working on an additional deal with both drugmakers to sell select obesity medications directly through the upcoming TrumpRx platform, a government-run consumer site expected to launch in 2026. This would follow previous arrangements where other discounted drugs were offered through federal programs.

President Trump has consistently pushed for most favored nation pricing, a policy aimed at ensuring Americans pay no more than citizens of other advanced economies. On September 30, he announced such a deal with Pfizer, reducing Medicaid drug costs.

In another move, he recently confirmed that EMD Serono, the country’s largest fertility drug maker, had agreed to lower the price of a common IVF medication, continuing his administration’s push to reduce the cost of essential treatments.

Insurance Coverage Still Uneven

Although many insurance plans cover GLP-1 drugs when prescribed for diabetes or heart disease, more than half of employer-based plans still do not extend coverage to obesity-related prescriptions.

In 2024, about 44% of large employers offered coverage for GLP-1 drugs used for weight loss, compared to 41% in 2023, according to data from Mercer, a benefits consulting firm.

This potential price cut could therefore play a crucial role in bridging that gap—making effective weight loss medications accessible to a wider group of Americans.