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President Trump with Mark Meadows, his chief of staff, on Sept. 3 at Andrews Air Force Base in Maryland. Photo: Mandel Ngan/AFP via Getty Images

Negotiations on a deal between the White House and pharmaceutical industry to lower drug prices broke down last month after Mark Meadows, the president's chief of staff, insisted that drugmakers pay for $100 cash cards to be mailed to seniors before the election, according to the New York Times.

Why it matters: Some of the drug companies feared that in agreeing to the prescription cards — reportedly dubbed "Trump Cards" by some in the pharmaceutical industry — they would boost Trump's political standing weeks ahead of Election Day with voters over 65, a group that is crucial to the president's reelection bid, per the Times.

The other side: The White House says it did not expect to put President Trump's name on the cards.

  • Before the introduction of the cards, the White House and the pharmaceutical industry were nearing an agreement in which drug companies would spend $150 billion to address out-of-pocket consumer costs and pay co-pays that older Americans carry in Medicare’s prescription drug program.

Of note: Trump's name was added to the physical coronavirus stimulus checks approved under the CARES Act and sent to millions of Americans earlier this year.

What they're saying: “We could not agree to the administration’s plan to issue one-time savings cards right before a presidential election,” Priscilla VanderVeer, vice president of public affairs at PhRMA, the industry’s largest trade group, told the New York Times.

  • “One-time savings cards will neither provide lasting help, nor advance the fundamental reforms necessary to help seniors better afford their medicines."
  • Judd Deere, a White House spokesperson, did not comment specifically on the savings cards and noted that Trump held back issuing an executive order this summer that would have tied some drug prices to what other countries pay, also called "most-favored nation" drug pricing.

Our thought bubble, via Axios' Caitlin Owens: The “most-favored nation” executive order isn’t the worst thing to happen to the pharmaceutical industry.

  • There’s no way the regulations it calls for are implemented before the election, and the Trump administration has dropped almost every major drug policy initiative it has proposed.
  • So the industry doesn’t have to pay for reforms and doesn’t have to look like they’re trying to give Trump a giant political win right before the election, and probably doesn’t need to worry that much about the executive order either.

Go deeper

Dec 6, 2020 - Politics & Policy

Trump's wild Inauguration Day exit

Illustration: Aïda Amer/Axios

President Trump is considering a made-for-TV grand finale: a White House departure on Marine One and final Air Force One flight to Florida for a political rally opposite Joe Biden's inauguration, sources familiar with the discussions tell Axios.

Why it matters: The former network star is privately discussing using his waning powers as commander in chief to order up the exit he wants after dissing Biden by refusing to concede the election, welcome him to the White House or commit to attending his inauguration.

58 mins ago - Health

CDC says some immunocompromised people can get fourth COVID shot

Photo: Noriko Hayashi/Bloomberg via Getty Images

The Centers for Disease Control and Prevention said in updated guidelines Tuesday that some immunocompromised people who have received either Pfizer or Moderna's COVID-19 vaccines will be able to get a fourth shot.

Details: People over 18 who are "moderately to severely immunocompromised" and have received three doses of an mRNA vaccine may get a fourth shot (of either the Pfizer, Moderna, or Johnson & Johnson vaccines) at least six months after getting their third Pfizer or Moderna dose, per the CDC.

2 hours ago - Politics & Policy

Scoop: Biden plan expected to include at least $500B for climate

Photo: Stephanie Keith/Bloomberg via Getty Images

The White House is privately telling lawmakers the climate portion of President Biden's roughly $2 trillion social spending plan is "mostly settled" and will likely cost more than $500 billion, two sources familiar with the talks tell Axios.

Why it matters: A pricetag of $500-$555 billion is a huge number and, if it holds, would likely be the single biggest component of the sweeping package. It also isn't far off from the roughly $600 billion proposed when the bill was expected to cost $3.5 trillion.