UK medicine rebate rate to drop in 2026 after US pharma deal

By Alistair ‌Smout

LONDON, Dec 10 (Reuters) - The British government said on Wednesday that the proportion ‍of revenues ‌from new medicine sales pharmaceutical firms need to pay back into England's National Health ⁠Service would fall in 2026 following ‌a tariff deal with the United States.

The pharma sector has criticised the record rebates it has had to pay under a system aimed at curbing the NHS' drugs bill, saying the levels ⁠were unsustainable and impeded investment.

Britain has agreed to spend more on new medicines and address some industry concerns ​under a deal with the U.S. to bring tariffs ‌on UK pharmaceuticals and medical devices to ⁠zero. Britain pledged the rebate rate payable by drugmakers under the VPAG scheme, would not exceed 15% in the deal's first 3 years.

In light of that framework ​agreement, announced last week, the UK government said the headline percentage drugmakers would need to pay back to the NHS in 2026 for eligible sales of newer medicines under VPAG would be set at 14.5%.

The Association of the British Pharmaceutical Industry (ABPI) ​said the ‍rate compared to a record ​22.5% set for 2025, but payment rates for older branded medicines were unchanged for 2026 at between 10% and 35%.

"It's good that the amount of revenue companies will need to pay to the UK government has come down in 2026," ABPI Chief Executive Richard Torbett said in a statement, adding the proposed 15% cap should give firms ⁠more certainty but adding it was just a first step in making Britain more competitive.

"Payment rates remain much higher than in ​similar countries, and there is work to do to accelerate the NHS's adoption and use of cost-effective medicines to improve patient care."

U.S. President Donald Trump has said European countries should pay more for drugs. Under the U.S. ‌deal, Britain will change how it values new medicines, as it has previously rejected coverage of new, expensive drugs through the NHS.

(Reporting by Alistair Smout; Editing by Alexander Smith)