At a Senate Finance Committee hearing on April 22, 2026, HHS Secretary Robert F. Kennedy Jr. tried to defend the math Trump has been using to sell his TrumpRx drug program. Trump has been claiming that the site is cutting drug prices by "300, 400, 500, even 600 percent." Those numbers are not possible. A 100 percent reduction means the drug is free. A 600 percent reduction on a $600 drug would mean the manufacturer has to pay the patient $3,000 to take it.
Kennedy, under questioning from Senator Elizabeth Warren, did not back away from the claim. He said Trump "has a different way of calculating" percentages, and offered a hypothetical: "If you have a $600 drug and you reduce it to $10, that's a 600 percent reduction." Warren corrected him in real time. The actual reduction is about 98 percent. Kennedy moved on.
Name the Drug
The obvious question, the one that did not get a real answer in the hearing, is this: which drug actually went from $600 to $10 on TrumpRx? Kennedy did not name one. Trump, in the months he has been repeating the line, has not named one. The $600 figure is a hypothetical that the HHS Secretary used to prop up a president who cannot do arithmetic. It is not tied to a real price, a real manufacturer, or a real patient.
If the math is wrong and the example is imaginary, there is no story. That is the point. The White House is running a national drug-pricing program in public, the HHS Secretary is under oath in front of the Senate, and neither of them can produce a single concrete example to back the talking point.
What TrumpRx Actually Charges
Warren did bring concrete examples. She read them into the record.
Protonix, a heartburn medication, is listed on TrumpRx for $200. The generic, pantoprazole, costs $16 at Costco. That is 12 times more expensive on the president's site than at a warehouse store.
Tikosyn, a heart arrhythmia drug, is listed on TrumpRx for $336. The generic is available at Mark Cuban's Cost Plus Drugs for $12. That is 28 times more expensive on the president's site.
Warren's staff analysis found that more than one in four drugs on TrumpRx are priced higher than widely available generic alternatives. She called it a scam. It is a scam that only works if patients trust the branding and do not comparison shop. The HHS Secretary, whose job is to protect those patients, spent his hearing defending the branding.
The Tariff Carve-Out
There is one more piece. Trump imposed 100 percent tariffs on pharmaceutical imports this year. Drug manufacturers that list their brand-name products on TrumpRx get an exemption. In practice, that means the administration is using a tariff as leverage to herd drug companies onto a site where they can charge several times the cost of the generic, and the site itself becomes the selling point. The drug companies keep the premium. The patients who are not paying attention pay it.
That is what Kennedy was defending when he told a U.S. senator the president uses different math. It is not a gaffe. It is the entire product.
Sources
- Senator Warren's office: TrumpRx hearing summary with Protonix and Tikosyn examples
- Newsweek: RFK Jr. Says Trump Has 'Different Way' of Calculating Percentages
- Common Dreams: Defending TrumpRx Scam, RFK Jr. Absurdly Claims Trump 'Has His Own Way of Calculating'
- NPR: Senators grill RFK Jr. on vaccines, drug prices and more at hearing
- Boston Globe: Warren and Hassan clash with RFK Jr. over drug pricing
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