'Gotta be Honest': Mark Cuban thanks Donald Trump on healthcare order, says can ‘Save Hundreds of Billions’

Tech billionaire Mark Cuban has supported US President Donald Trump’s latest executive order. This new order targets Pharmacy Benefit Managers (PBMs), which oversee nearly 80% of US prescription drug claims. In his post shared on social media platform X (earlier Twitter), Cuban outlined measures to separate drug formularies from PBMs, the need for transparent claims‑data reporting, and removal of speciality-drug tiers to curb cost inflation. He also urged action to address double‑dipping in the 340B program, which refers to a situation where an eligible provider, like a hospital or clinic, improperly receives both a 340B drug discount and a Medicaid drug rebate for the same medication. The order further directs HHS to align Medicare drug payments with hospital rates, streamline FDA approval for generics and biosimilars, and support state drug importation programs. According to Cuban, these steps can yield notable savings and better patient outcomes under the new policy framework.


In his X post, Cuban wrote: “Gotta be honest. The @realDonaldTrump EO on healthcare and in particular, drug pricing could save hundreds of billions.
Here is how:
1. Divorce formularies from PBMs. Require them to come from independent organizations with no economic incentive from the formulary
Make them about wellness, not pay for play like a grocery store endcap. This ends rebates and allows for net pricing. It also allows for better care and wellness.
2. Require PBMs to provide ALL claims data to employers, states and manufacturers. The manufacturers need this to provide better results. It’s insane they don’t have this data to analyze and improve patient results.
Plus they current pay 5 to 10 pct of the retail price to get that data so they can do just that. Make it so it’s required and they can save 10pct of RETAIL pricing , which they can use to lower pricing.
This also stops the 340b double dipping problem.
3. Remove the specialty tier and the requirement to buy from any specified pharmacy. There is nothing special about specialty drugs. They call them special to jack up the price. And of course have them divest any that they do.
4. Require that all pharmacies get fully reimbursed for brand drugs and get rid of the Generic Cost Ratio which allows distributors to jack up pricing on generics with the threat of chargebacks and more.. We need independent pharmacies to thrive
5. Remove confidentiality clauses. They prevent companies from talking to manufacturers. It’s insane that your company can’t talk to a GLP1 manufacturer (as an example) to help you put together a wellness plan and get you a better price
6. Stop biosimilar substitution calls. PBMs know that they need to find new sources of margin. They do it by white labeling their own biosimilar versions. That’s fine.
But because that’s where all the margin is, they will put a low cost biosim on the formulary, and when they get a script for the lower cost option, they will have someone call the prescribing doctor to switch to their more expensive version they make more money on. And because employers and manufacturers don’t get their data. They never know
Put me in coach ! I’m here to help.”