US to sell oil and gas leases in Alaska petroleum reserve for first time since 2019

March 18 (Reuters) - The U.S. government on Wednesday will hold a sale of oil and gas drilling rights in ‌Alaska's National Petroleum Reserve for the first time since 2019, ‌the latest test of the industry's appetite for acreage in the state.

Reuters

The Interior Department's Bureau ​of Land Management is offering 600 tracts covering 5.5 million acres (2.2 million hectares) to oil and gas companies. The bids will be opened and read via a livestream on the BLM's website at 10 ‌a.m. Alaska time (1900 GMT).

The sale ⁠is the first of at least five mandated by President Donald Trump's One Big Beautiful Bill Act, ⁠which he signed into law last year. His administration has sought to expand domestic oil and gas production and reverse Biden-era restrictions on ​drilling in ​the Alaska reserve.

But oil and ​gas industry interest in snapping ‌up leases in Alaska has been tepid in recent years. Drilling in the state is a high-risk endeavor involving decades of work and billions of dollars of investment. The industry failed to show up at all for a sale of offshore drilling rights in ‌Alaska's Cook Inlet earlier this month.

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The NPR-A, ​as the 23-million-acre reserve is known, ​was designated for oil ​and gas exploration in the 1970s to address energy ‌shortages.

The last NPR-A lease sale, in ​2019, attracted $11.3 million ​in bids on 1.05 million acres.

Alaska state officials and some native groups support oil and gas drilling because it contributes ​to tax revenue ‌and creates jobs. Environmentalists argue oil and gas development destroys ​habitats for species such as polar bears and caribou.

(Reporting ​by Nichola GroomEditing by Rod Nickel)

US to sell oil and gas leases in Alaska petroleum reserve for first time since 2019

March 18 (Reuters) - The U.S. government on Wednesday will hold a sale of oil and gas drilling rights in ‌Alaska's Na...
Iran's huge Gulf gas field is struck in major escalation

By Parisa Hafezi, Rami Ayyub and Maya Gebeily

Reuters

DUBAI/JERUSALEM/BEIRUT, March 18 (Reuters) - Iran's huge Pars gas field was hit on Wednesday in the first reported strikes on Iranian energy infrastructure in the Gulf during the U.S.-Israeli war, a major escalation that prompted Tehran to warn its neighbours that their energy installations would be targeted "in the coming hours".

Pars is the Iranian sector of the world's ‌largest natural gas deposit, which Iran shares with Qatar across the Gulf. Iran's Fars news agency reported that gas tanks and parts of a refinery had been hit, workers had been evacuated to a ‌safe location and emergency crews were trying to put out a fire.

The attack was widely reported in Israeli media to have been carried out by Israel with U.S. consent. The Israeli military did not immediately respond to requests for comment.

Qatar, a close U.S. ally which hosts the ​largest U.S. airbase in the region, called it an Israeli attack without mentioning any U.S. role. The Qatari foreign ministry spokesperson called it a "dangerous and irresponsible" escalation that put global energy security at risk.

Iran's Revolutionary Guards told Saudi Arabia, the UAE and Qatar to evacuate several energy facilities.

"These centres have become direct and legitimate targets and will be targeted in the coming hours. Therefore, all citizens, residents, and employees are requested to immediately leave these areas and move to a safe distance without any delay," Iranian state media cited authorities as saying.

During three weeks of war, the U.S. and Israel had previously held back from targeting Iran's energy production facilities in the Gulf, a move that could invite retaliation against other ‌producers and make it harder for global markets to recover from what has ⁠already been the biggest ever interruption to energy supplies.

Iran's warning was directed at Saudi Arabia's Samref Refinery and Jubail Petrochemical Complex, the UAE's Al Hosn Gas Field, and Qatar's Mesaieed Petrochemical Complex, Mesaieed Holding Company and Ras Laffan Refinery.

'EVERYONE IS IN THE CROSSHAIRS'

The Israeli military also hit central Beirut, destroying apartment buildings in some of the most intense airstrikes on ⁠the Lebanese capital for decades, on Israel's other front in the war it launched with the U.S. against Iran.

Israel said on Wednesday it had killed Iran's intelligence minister and his death was later confirmed by Iranian President Masoud Pezeshkian in a post on X. It was the second strike on a top leadership figure in two days.

"No one in Iran has immunity and everyone is in the crosshairs," said Defence Minister Israel Katz, who announced that Israel had killed Iran's Intelligence Minister Esmail Khatib a ​day ​after killing security chief Ali Larijani.

Katz said he and Prime Minister Benjamin Netanyahu had authorised the Israeli military "to target any senior ​Iranian official for whom an intelligence and operational opportunity arises, without the need for additional ‌approval".

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It appeared to be the first time Israel has publicly stated that it would let the military target enemy officials without seeking special permission from political leaders for missions.

In Tehran, thousands of people appeared in the streets for a funeral for Larijani and other slain figures. The crowd waved Iranian flags and carried portraits of the dead as a eulogist sang: "Martyrs are leading the way, they've become more alive, burning with love."

Iran retaliated for the killing of Larijani by firing missiles at Israel, which Israeli authorities said killed two people near Tel Aviv. Tehran said it fired overnight on Tel Aviv, Haifa and Beersheba in Israel, and at U.S. bases in Bahrain, Iraq, Jordan, Kuwait, Saudi Arabia and the UAE.

ENERGY PRICES SURGE

The unprecedented disruption to global energy supplies has raised the political stakes for U.S. President Donald Trump. Diesel prices in the United States rose above $5 a gallon for the first time since the ‌2022 inflation surge that eroded support for his predecessor Joe Biden.

Israel has stepped up strikes on Lebanon and a ground assault in ​the south in pursuit of the Iran-backed Hezbollah group, which has fired across the border in solidarity with Tehran.

In central Beirut's Bachoura ​district, Israel warned residents early on Wednesday to leave a building it said was used by Hezbollah, ​which it then completely flattened.

Abu Khalil, who lives in the area, said he had helped people flee nearby homes after the Israeli warning. "It's just an operation to hurt, to terrify people, ‌to terrify children," he told Reuters, insisting there were no military targets nearby.

No similar ​warnings were given for strikes that hit apartment buildings in ​two other central districts, killing at least 10 people, according to Lebanese authorities.

Inside Israel, the ambulance service reported that a 44-year-old man and two children, aged 13 and 12, in Petah Tikva, east of Tel Aviv, were hospitalised with blast injuries following an Iranian missile attack. In a separate incident, an Iranian missile tore a crater into the pavement and set cars ablaze in a residential area of Holon, ​just south of Tel Aviv.

"There was an alarm, we went into the shelter, we ‌heard a crazy boom," resident Leah Palteal told Reuters.

U.S.-based Iran human rights group HRANA said on Monday that an estimated 3,000-plus people had been killed in Iran since the U.S.-Israeli attacks began ​on February 28. Authorities in Lebanon say 900 people have been killed there and 800,000 forced to flee their homes.

Iranian attacks have killed people in Iraq and across the Gulf states. Fourteen ​have been killed in Israel.

(Reporting by Reuters bureaux, Writing by Peter Graff; Editing by Ros Russell and Gareth Jones)

Iran's huge Gulf gas field is struck in major escalation

By Parisa Hafezi, Rami Ayyub and Maya Gebeily DUBAI/JERUSALEM/BEIRUT, March 18 (Reuters) - Iran's huge Par...
Arizona 'built for' March Madness, says one expert. Call it proof of Big 12 surge

Fran Franschilla's job calling Big 12 games gives him a front-row seat to the best action incollege basketball, but that's where he stops you. Don't label broadcasting Big 12 hoops work.

USA TODAY Sports

"They pay me to travel, not to work," Fraschilla, ESPN's veteran color commentator and a former coach, says affably. "I've been blessed, because I've watched the league grow up over 20 years."

Along the way, Fraschilla became ESPN's voice of the Big 12 and an unofficial conference advocate. It's easy to advocate for the Big 12 in a season when the conference supplied peak entertainment and premier performance.

TheSECled all conferences with 10NCAA Tournamentbids, a show of its depth, but ball-knowers recognize the best batch of hoops lived inside the Big 12.

Now, to back that up on the final exam that is the NCAA Tournament.

Bold predictions:Best March Madness upset picks, Final Four sleeper

Toppmeyer:If Jon Scheyer feels any Duke pressure, at least Coach K can relate

The Big 12 earned eight bids. Fraschilla counts three with Final Four potential: No. 1 seedArizonaand No. 2 seeds Houston and Iowa State.

That list would be bigger, he says, if not for injuries toTexas Tech's JT ToppinandBrigham Young's Richie Saunders, a pair of big-time ballers who went down in February.

As for national championship potential? Start with Arizona.

"I give Arizona as good of chance as anybody in the field to cut down the nets in Indianapolis," Fraschilla, who coached Manhattan toa mammoth NCAA Tournament upsetof Oklahoma in 1995, told me.

Why Arizona is a top March Madness championship contender

Two of Arizona's key bench players started on last year's team that reached the Sweet 16. That speaks to the quality of a starting lineup in which every player averages in double digits scoring.

"They are as complete a team as there is in college basketball," Fraschilla said. "First of all, they are an old-school, bludgeon-you-inside team with three terrific post players. They have as good of a leader at point guard, (Jaden Bradley), as any team in the country."

Oh, we've yet to mention dynamite freshman guard Brayden Burries, the team's leading scorer.

Try to go devil's advocate and point outArizona's history of March Madness shortcomingsthe past 25 years, and Fraschilla uncorks the ultimate comeback.

"I can say the same thing about an entire league: the Big Ten," he says.

Fair point.

Anyway, why should these Wildcats fret about what happened to the 2023 team, which lost to15th-seeded Princetonin the first round? Or, the 2018 team thatgot blasted by 13th-seeded Buffaloin the first round? The past three times Arizona earned a No. 1 seed in the past quarter-century, it got bounced before the Final Four. That's for you to consider as you fill out your bracket, but whispers of the past are not for these Wildcats to fuss over.

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"They play like they're in a cocoon," Fraschilla said, "so I'm not sure how much of the noise they hear."

If you need more than one man's opinion, there's also Ken Pomeroy's rankings. BasketballnerdsciteKenPomas if it's college basketball's holy literature. His metrics rank Arizona, Houston and Iowa State among the six best teams, making the Big 12 the only conference with more than one team tucked inside the top six.

The Big 12's "Big Monday" games, with Jon Sciambi and Fraschilla on the call, showcased premier teams in elite environments with future NBA stars.

"Big Monday has become must-watch TV," Fraschilla said.

The Big 12's TV audience on "Big Monday" doubled this season, according to commissioner Brett Yormark, to average1.7 million viewers.

Consider it evidence of how the Big 12 survived conference realignment.

<p style=University of Akron:
Yvette Nicole Brown, Alexa Bliss, Dominique Moceanu, The Black Keys and George Wallace

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=California Baptist University: Brent Kutzle, Dustin-Leigh Konzelman, Kay Warren, Rick Warren and Marissa Figueroa (not pictured)

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=University of Hawaii: Bette Midler, Larry Beil, Jason Elam, Ken Niumatalolo and Barack Obama, Sr.

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=High Point University: Austin Dillon, Tubby Smith, Donna Fargo, Cody Allen and Charles F. Price (not pictured)

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=Howard University:
Chadwick Boseman, Thurgood Marshall, Anthony Anderson, Taraji P. Henson and Gus Johnson

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=Kennesaw State University: Bron Breakker, Jasmine Burke, ReesaTeesa, Larry Nelson and theRadBrad (not pictured)

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=University of Maryland, Baltimore County: Kathleen Turner, Duff Goldman, Stavros Halkias, Young Mazino and Scott Seiss

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=University of Pennsylvania: Elon Musk, Donald Trump, Elizabeth Banks, John Legend and Maury Povich

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> <p style=Prairie View A&M University: Megan Thee Stallion, Mr. T., Loni Love, Terry Ellis and Cecil Cooper

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" />

Actors, athletes and icons: Famous alumni from every NCAA men's tournament team

University of Akron:Yvette Nicole Brown, Alexa Bliss, Dominique Moceanu, The Black Keys and George Wallace

Big 12 basketball emerged strong on this side of realignment

Realignment is bloodsport, and the Big 12 hit an inflection point in 2021 after Oklahoma and Texas set out for the SEC's richer pastures. The impending exodus of the Big 12's two richest brands cast the future of the conference into peril.

Would it be raided for parts? Merge with the Pac-12?

Option 3: Fortify.

The conference steadied by adding BYU, Central Florida, Cincinnati and Houston under outbound commissioner Bob Bowlsby. Then, Bowlsby's successor Yormark secureda media rights extensionwith ESPN and Fox before looting the Pac-12 for Arizona, Arizona State, Colorado and Utah.

While the Pac-12 collapsed into a shell of its former self, the Big 12 went from endangered species to basketball behemoth.

"The league came out much stronger on the basketball side than anybody would have realized," Fraschilla said.

Yormark describes his conference as "the second-best basketball league in America behind the NBA," and he promised to cash in when the conference hits the media rights marketplace again in 2030.

In the meantime, the Big 12 is on national championship watch, with Arizona forming the tip of the spear.

"They have a countenance about them," Fraschilla said of coach Tommy Lloyd's Wildcats, "that is built for the tournament."

Blake Toppmeyeris a columnist for the USA TODAY Network. Email him atBToppmeyer@gannett.comand follow him on X@btoppmeyer.

This article originally appeared on USA TODAY:March Madness will test if Arizona, Big 12 are 'built for' NCAA bracket

Arizona 'built for' March Madness, says one expert. Call it proof of Big 12 surge

Fran Franschilla's job calling Big 12 games gives him a front-row seat to the best action incollege basketball, but t...
Why the UConn women's basketball team won't win the NCAA Tournament

Coach Geno Auriemma's UConn Huskies have 12 national championships, more than any other program in women's college basketball by a wide margin.

USA TODAY Sports

Entering the 2026 NCAA Tournament, the Huskies are undefeated, the overall No. 1 seed and the overwhelming betting favorite to run it back as champions of the sport.

But being the top seed doesn't guarantee that UConn will win another title. In fact, since 2017, the No. 1 overall seed has won the NCAA Tournament three times: Baylor in 2019, and South Carolina in 2022 and 2024.

Can UConn be beaten in March Madness? Can the lethal combination of Sarah Strong and Azzi Fudd be stopped?

Let's take a closer look to find out how the Huskies might be dethroned.

<p style=UConn Huskies forward Sarah Strong (21) named Big East Player Of The Year as they celebrate their Big East Championship win over the Villanova Wildcats at Mohegan Sun Arena on Mar 9, 2026.

" style="max-width:100%; height:auto; border-radius:6px; margin:10px 0;" loading="lazy" /> UConn Huskies forward Sarah Strong (21) defends against Villanova Wildcats guard Kelsey Joens (23) in the first half at Mohegan Sun Arena on Mar 9, 2026. UConn Huskies forward Sarah Strong (21) and teammates warm up before the start of the game against the Villanova Wildcats at Mohegan Sun Arena on Mar 9, 2026. UConn Huskies forward Sarah Strong (21) defends against Creighton Bluejays forward Grace Boffeli (42) in the first half at Mohegan Sun Arena on Mar 8, 2026. UConn Huskies forward Sarah Strong (21) is introduced before the start of the game against the Creighton Bluejays at Mohegan Sun Arena on Mar 8, 2026. UConn Huskies forward Sarah Strong (21) warms up before the start of the game against the Creighton Bluejays at Mohegan Sun Arena on Mar 8, 2026. UConn Huskies forward Sarah Strong (21) works for the ball against Georgetown Hoyas forward Brianna Byars (32) in the second half at Mohegan Sun Arena on Mar 7, 2026. UConn Huskies forward Sarah Strong (21) awarded player of the year and Big East first team player before the start of the game against the Georgetown Hoyas at Mohegan Sun Arena on Mar 7, 2026. UConn Huskies forward Sarah Strong (21) returns the ball against Georgetown Hoyas forward Brianna Scott (15) in the first half at PeoplesBank Arena on Feb 26, 2026. UConn Huskies forward Sarah Strong (21) and teammates react after a basket against the Providence Friars in the second half at Harry A. Gampel Pavilion on Feb 22, 2026. UConn Huskies forward Sarah Strong (21) moves the ball against Creighton Bluejays guard Kendall McGee (1) in the first half at Harry A. Gampel Pavilion on Feb 11, 2026. UConn Huskies forward Sarah Strong (21) drives the ball against Creighton Bluejays center Elizabeth Gentry (35) in the first half at Harry A. Gampel Pavilion on Feb 11, 2026. UConn Huskies forward Sarah Strong (21) drives to the basket against DePaul Blue Demons guard Kate Novik (33) during the first half at Wintrust Arena on Feb 4, 2026. UConn Huskies forward Sarah Strong (21) drive to the basket against Notre Dame Fighting Irish forward Malaya Cowles (5) in the first half at Harry A. Gampel Pavilion on Jan. 19, 2026. UConn Huskies forward Sarah Strong (21) and Villanova Wildcats forward Kylee Watson (4) works for the ball in the second half at Harry A. Gampel Pavilion on Jan. 15, 2026. UConn Huskies forward Sarah Strong (21) works for the rebound against Florida State Seminoles forward Avery Treadwell (32) in the first half at Harry A. Gampel Pavilion on Nov. 9, 2025. Connecticut Huskies forward Sarah Strong (21) reacts while interviewed by ESPN reporter Holly Rowe after the national championship of the women's 2025 NCAA tournament against the South Carolina Gamecocks at Amalie Arena on April 6, 2025. Connecticut Huskies forward Sarah Strong (21) cuts off a piece of the net after the national championship of the women's 2025 NCAA tournament against the South Carolina Gamecocks at Amalie Arena on April 6, 2025. Connecticut Huskies forward Sarah Strong (21) and South Carolina Gamecocks forward Joyce Edwards (8) battle for the ball during the first half of the national championship of the women's 2025 NCAA tournament at Amalie Arena on April 6, 2025. Connecticut Huskies forward Sarah Strong (21) and guard Paige Bueckers (5) react on the bench during the fourth quarter in a semifinal of the women's 2025 NCAA tournament against the UCLA Bruins at Amalie Arena on April 4, 2025. Connecticut Huskies forward Sarah Strong (21) talks with ESPN reporter Holly Rowe after defeating the UCLA Bruins during the fourth quarter in a semifinal of the women's 2025 NCAA tournament at Amalie Arena on April 4, 2025. The UConn Huskies bench reacts after forward Sarah Strong (21) makes a three point basket against the Boston University Terriers in the second half at Harry A. Gampel Pavilion on Nov. 7, 2024.

Sarah Strong, UConn look for perfection and another championship

UConn Huskies forwardSarah Strong(21) named Big East Player Of The Year as they celebrate their Big East Championship win over the Villanova Wildcats at Mohegan Sun Arena on Mar 9, 2026.

Rebounding

This is something Auriemma has harped on all year. Despite having arguably the best player in the country in the frontcourt, the Huskies aren't an elite rebounding team.

Out of 363 Division I teams, UConn ranks 139th in total rebounds per game (37.4), 96th in defensive rebounding rate (71.9%) and a mediocre 204th in offensive rebounds per game (11.3). Now the argument against the last stat there is that UConn doesn't miss all that much — it leads the nation in field goal percentage — so the Huskies don't get the opportunity to grab their own misses as much as other teams.

But rebounding has been something that has concerned Auriemma.

"You don't need any talent to be an offensive rebounder," Auriemma said after UConn's win over Creighton on Feb. 11. "All you need is when the ball leaves somebody's hand, you automatically are putting yourself in a position to chase it… The ones that don't go in, I want to get better at getting some of those back."

Since 2010, all but four national champions have ranked in the top 30 in the country in rebounds per game the year that they won the title. Two of those outliers were Auriemma's teams that won championships in 2016 and 2025.

3-point defense

On the surface, UConn's 3-point defense is pretty strong. The Huskies allow opponents to shoot 27.4% from behind the arc, which ranks 22nd nationally.

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However, UConn ranks dead last in the nation in percentage of points allowed from 3-point land at 38.9% and opponent 3-point rate at 40.3%. UConn has allowed its opponents to make 222 3-pointers this season, which ranks 308th nationally.

The Huskies have given up double-digit 3-pointers in a single game five times this season. It's worth noting that two of those games — on a neutral court against Michigan and at Villanova — were the closest games UConn came to losing this season. The Huskies beat the Wolverines by just three points and Villanova led UConn at halftime.

The blueprint

Villanova might have revealed a blueprint to beating UConn when the Wildcats hosted the Huskies on Feb. 18. But a lot of it, if we're being honest, is based on luck and UConn creating its own problems.

First, UConn got off to a sluggish start in that game, turning the ball over eight times in the first quarter. Second, Strong got into foul trouble, picking up her third in the second quarter and fourth early in the third quarter. Third, Villanova got hot from 3-point land, making 11 shots from behind the arc. And fourth, the Wildcats nearly matched the Huskies on the glass, losing the rebounding margin by just two.

So, how did the Wildcats blow a five-point lead and go on to lose by 14 points? Well, they turned the ball over 26 times and let UConn flip those cough-ups into 28 points. Strong finished with a superb foul-free fourth quarter too, with 11 points, three boards and an assist.

The close-call with Michigan was similar. UConn didn't start slow and Strong didn't endure foul trouble, but the Wolverines made 12 3-pointers and kept it close with UConn on the glass. The errors for Michigan were turning the ball over 14 times and allowing the Huskies to score 18 fast break points. A few less turnovers for the Wolverines and maybe that result is different.

So, what's the blueprint for beating UConn? Make 3-pointers, attack the glass and keep the Huskies off it, and don't turn the ball over.

And pray the Huskies start slow and Fudd or Strong fall into early foul trouble.

Easier said than done, right? But Villanova and Michigan nearly pulled this off to varying degrees.

There's many teams in the NCAA Tournament better than Villanova and a handful stronger than Michigan. And this is March, where madness is not uncommon.

This article originally appeared on USA TODAY:Why UConn won't win back-to-back Women's NCAA Tournaments

Why the UConn women's basketball team won't win the NCAA Tournament

Coach Geno Auriemma's UConn Huskies have 12 national championships, more than any other program in women's colleg...
TrumpRx isn't doing much for drug prices. What would it take to change that?

Americans are furious about drug prices. The Trump administration's answer? A new website.

NBC Universal A page on the TrumpRx site. (Scott Olson / Getty Images)

Butmore than a month after its launch, the site, TrumpRx.gov, remains small — offering discounts on just 54 prescription drugs. Many of those drugs already have cheaper generic versions or savings programs available elsewhere, and the discounts can't be used with insurance or count toward a deductible. Awareness of the site remains limited.

Whether TrumpRx actually lowers drug prices matters in ways that go beyond the success of the website itself. For President Donald Trump, it's tied toa broader push on health care costsas the midterms approach. But for many Americans,the issue taps into something deeper— years of frustration with a system they say feels stacked against them, where prices are hard to track and it's not always clear if they're getting a fair deal.

Health policy experts say that what the administration does next will determine whetherTrumpRx remains just another optionor evolves into something that actually helps make prescription drug costs easier to navigate.

"The idea isn't exactly new, but it does have sort of that Trump branding," said Audrey Kearney, a senior survey analyst at KFF, a nonpartisan health policy research group. "It's another option for consumers, and we'll kind of have to stay tuned to see if it'll make a real difference."

Kearneyco-authored a surveypublished last week by KFF that found that about a third of people who take prescription drugs said they had heard at least something about TrumpRx. Just 7% said they had visited the site to compare prices, rising to about 16% among people who take GLP-1 medications.

Even the White House acknowledges the website is still in its early days. A White House official declined to say how many people have visited the site or how many drugs will be added this month.

The official said IVF treatments andGLP-1 weight loss drugshave been among the most searched medications so far. The administration plans to add "a larger batch" of drugs to the platform soon, the official said, and hopes to work with Congress to codify some of the drug pricing deals into law as part of a broader health care plan.

"We don't see this as the end product," the official said. "The goal here is to pass the president's Great Healthcare Plan to codify these [Most Favored Nation] deals, so if people use insurance to buy these drugs, they can also access the savings."

There are no indications that Congress is taking up the legislation.

What could TrumpRx do differently?

In practice, TrumpRx works like existing discount sites such as GoodRx orMark Cuban Cost Plus Drug Co., letting people compare cash prices for medications, but with fewer tools and less flexibility — and no way to buy directly through the site.

"The fascinating thing about TrumpRx is that it's being touted as this new, innovative thing, when in fact, it's kind of coalescing things that already existed," said Antonio Ciaccia, CEO of 46brooklyn, a nonprofit group that tracks prescription drug prices.

The site relies on GoodRx's pricing data and technology to power many of its listings, Ciaccia said: The coupon cards are processed through GoodRx's network, using the same BIN and PCN numbers — the codes pharmacies use to process drug discounts at the pharmacy counter.

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What TrumpRx needs most is scale, said Geoffrey Joyce, director of health policy at the University of Southern California Schaeffer Center for Health Policy & Economics.

Of the initial batch of drugs on the site, roughly half have generic versions that are often much cheaper, Joyce said. Those generics are also widely available through other discount sites or at local pharmacies.

"In its current form, it's of limited use to uninsured consumers," Joyce said. "If they got rid of all the ones that had generic equivalents, you're looking at a site with 22 drugs. And it's basically a roundup of the usual suspects. It's some IVF, some GLP-1s. It's not a broad scope."

"Fifty-four drugs out of thousands, just proportionally speaking, it's a very small segment of the population," Ciaccia said.

Still, both Joyce and Ciaccia said TrumpRx has the potential — with the right investments — to go beyond existing discount sites.

Ciaccia said the platform could play a bigger role for people with private or job-based insurance, where patients don't always have access to the lowest-cost drug.

Pharmacy benefit managers, who decide which drugs go on insurers' formularies, often favor higher priced brand name drugs to secure larger rebates, sometimes excluding lower cost generics — a practice that can drive up costs for patients.

In those cases, patients could turn to a platform like TrumpRx to find a lower price brand name drug, even if their insurance favors that same medication at a higher cost.

"I think TrumpRx could be not a cure for the problems that exist today, but maybe it could supplant the system that we have," Ciaccia said. "If the discounts start to improve, there could be an option for employers who are already getting the short end of the stick on their benefit designs from PBMs."

Joyce also said the platform could become more useful by offering more transparency around drug prices, a focus of the Trump administration's health care agenda.

He pointed to Cost Plus Drug Co. as a starting point, where users can see a breakdown of a drug's price, including the ingredient cost, markup and shipping.

Currently, TrumpRx shows what people would pay compared with the drugmaker's list price. That comparison can be misleading, however, because insurance rarely pays that price and even people without insurance typically get discounts.

Improving transparency could include showing how prices vary by pharmacy or region, how discounts are negotiated and how insurance compares with cash prices.

"It's been the uninsured who have been getting screwed the most," Joyce said. "There are lower prices out there, and from an educational and informational perspective, I think that's valuable."

TrumpRx isn’t doing much for drug prices. What would it take to change that?

Americans are furious about drug prices. The Trump administration's answer? A new website. Butmore than a ...

 

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