Research Programs Discontinued
0
Drugs Discontinued
0
since passage of the Inflation Reduction Act
News Updates

Sen. Thom Tillis and John Stanford: Free markets built American prosperity. Government intervention puts it at risk

Incubate and Manatt Release New Report: Regulatory Instability at FDA Is Reshaping Biotech Investment

Washington Post Editorial Board: Moderna’s chilling announcement is a symptom of a deeper sickness

Incubate Survey: 74% of investors say IRA’s pill penalty diverts resources away from small molecule drug development.

Endpoints News: Biotech industry goes six months without an IPO

Leerink Partners report shows no evidence of market failures that block generic competition

National Pharmaceutical Council: Share of drugs with one orphan designation that later received a second designation decreased 48% post-IRA

ITIF: The IRA is negotiating the United States out of drug innovation

Stifel report: Rare disease companies saw $1B loss in value from 2020-2022, with further losses through Feb. 2025

CNBC Video ▶️: Novartis CEO says companies are deprioritizing small molecule medicines for the elderly due to IRA

Vital Transformation analysis: Small molecule funding dropped 70% since introduction of the IRA

Policy & Medicine: The Inflation Reduction Act and its broader impact on innovation, access, and affordability in healthcare

STAT: The IRA will chill rare disease innovation, experts warn. Can lawmakers reignite that spark?

MedPage Today: Experts debate whether IRA provisions stifle pharma innovation at Senate hearing

WSJ Editorial Board: Drug price controls mean fewer cures, IRA causing R&D spending cuts for new medicines

Wall Street Journal: Big Pharma cuts R&D, sending shudders through industry

Novartis CEO on IRA: Companies are managing… by shifting away from small-molecule medicines for other therapies and neurological diseases.

Bloomberg Law: U.S. drug negotiations plan shifts focus for rare disease programs

InsideHealthPolicy: Researchers say IRA may disrupt development of non-opioid pain meds

State Street Global Advisors point to small molecule penalty in latest investment note

Fitch Ratings: Medicare drug price negotiation program expected to deter investments into small molecule drugs

Axios: Drugmakers, investors say they’ve already changed bets in IRA’s first year

GlobalData Market Analysis: Biologics receive $7.6 billion more venture financing than small molecule drugs

Incubate’s Investment Tracker measures the impacts of the Inflation Reduction Act’s healthcare provisions on the life sciences ecosystem, with special attention to the impacts of the small molecule penalty.

Date
Date
Disease Area
Drug Type
Announcement Type
Company Size
August 6, 2026

Emergent Biosolutions

Layoffs

Gaithersburg, Maryland
501-1,000 employees

“To align resourcing to current needs, Emergent BioSolutions is restructuring its business, a move that includes letting go of 93 employees across the company and eliminating 21 vacant positions. Emergent announced the plans in its second quarter earnings release and provided additional details in a related SEC filing.

The layoffs represent a small number of the company’s overall workforce, which was about 900 employees as of Dec. 31, 2025.

Emergent, which develops and manufactures medicines for diseases including smallpox and makes Narcan, which treats opioid overdoses, did not specify which locations the workforce reduction will affect. However, the announcement noted the closure of wet laboratories in Gaithersburg, Maryland, where the company is based.

The restructuring includes eliminating the role of chief medical officer, head of research and development, pushing Simon Lowry out of Emergent effective Aug. 19. The company is also creating a new “growth organization” that combines research and development, business development and strategy into one function. Stephanie Duatschek will lead that team in her new role as executive vice president, chief growth officer. Previously, she was senior vice president, chief global strategy and franchise development officer.

Emergent expects to incur costs of $10 million to $11.5 million in connection with the restructuring. As of June 30, the company’s capital resources included $139.7 million in cash and cash equivalents.”

Disease Area: Antiviral, Infectious Diseases
Drug Type: Biologic, Small Molecule
August 5, 2026

United Therapeutics Corp

Neutral Outlook

Silver Spring, MD
1,001-5,000 employees

While the impact of the IRA on the pharmaceutical industry cannot yet be fully determined, it is likely to be significant.

Disease Area: Cardiology, Oncology, Rare Diseases, Respiratory Diseases
Drug Type: Biologic, Small Molecule
August 5, 2026

Sarepta Therapeutics, Inc.

Neutral Outlook

Cambridge, MA
501-1,000 employees

The U.S. government and individual states continue to aggressively pursue healthcare reform, which includes ongoing attempts to manage utilization as well as control and/or lower the cost of prescription drugs and biologics. Recent years have seen a number of reform initiatives focused on drug pricing and payment. For example, the Inflation Reduction Act (“IRA”), passed in 2022, has had and will likely continue to have a significant impact on the pharmaceutical industry.

Disease Area: Multiple, Neurological Diseases, Rare Diseases
Drug Type: Biologic, Small Molecule
August 5, 2026

Revolution Medicines, Inc.

Neutral Outlook

Redwood City, CA
1000-5000 employees

The impact of the IRA on our business and the pharmaceutical industry cannot yet be fully determined, but could be significant.

Disease Area: Oncology
Drug Type: Small Molecule
August 5, 2026

Tenaya Therapeutics, Inc.

Neutral Outlook

South San Francisco, CA
51-200 employees

For example, the IRA passed by Congress authorizes the Secretary of the Department of HHS to negotiate prices directly with participating manufacturers for selected medicines covered by Medicare even if these medicines are protected by an existing patent. While we do not believe that the IRA or its effects will impact our ability to obtain patents in the near future, we cannot be certain whether it will affect our patent strategy in the long run.

Disease Area: Cardiology, Multiple, Rare Diseases
Drug Type: Small Molecule
August 5, 2026

Schrodinger, Inc.

Neutral Outlook

New York, NY
501-1,000 employees

Accordingly, while it is currently unclear how the IRA will be effectuated, we cannot predict with certainty what impact any federal or state health reforms will have on us, but such changes could impose new or more stringent regulatory requirements on our activities or result in reduced reimbursement for approved products, any of which could adversely affect our business, results of operations and financial condition.

Disease Area: Oncology
Drug Type: Small Molecule
August 5, 2026

Akebia Therapeutics, Inc.

Neutral Outlook

Cambridge, MA
201-500 employees

On August 16, 2022, the Inflation Reduction Act of 2022, or IRA, was signed into law by President Biden. Among other things, the IRA imposes rebates under Medicare Part B and Medicare Part D to penalize price increases that outpace inflation (first due in 2023); and replaces the Part D coverage gap discount program with a new discounting program (beginning in 2025).

Disease Area: Hematology, Multiple, Rare Diseases
Drug Type: Small Molecule
August 5, 2026

BeOne Medicines Ltd.

Neutral Outlook

Cambridge, MA
10,000+ employees

The IRA includes several provisions that may impact our business to varying degrees, including provisions that create a $2,000 out-of-pocket cap for Medicare Part D beneficiaries, impose new manufacturer financial liability on all drugs in Medicare Part D, allow the U.S. government to negotiate Medicare Part B and Part D pricing for certain high-cost drugs and biologics without generic or biosimilar competition, require companies to pay rebates to Medicare for drug prices that increase faster than inflation, and delay the rebate rule that would require pass through of pharmacy benefit manager rebates to beneficiaries.

Disease Area: Oncology
Drug Type: Biologic, Small Molecule
August 5, 2026

Biocryst Pharmaceuticals Inc

Neutral Outlook

Durham, NC
501-1,000 employees

The full effect of the IRA on our business and the healthcare industry in general is not yet known.

Disease Area: Rare Diseases
Drug Type: Biologic, Small Molecule
August 5, 2026

Entrada Therapeutics, Inc.

Neutral Outlook

Boston, MA
51-200 employees

The effect of the IRA on our business and the healthcare industry in general is not yet known.

Disease Area: Multiple, Neurological Diseases, Rare Diseases
Drug Type: Small Molecule
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