The height of Croagh Patrick dominates the skyline of Westport, a fairly city on Eire’s Atlantic coast. Dominating its economic system, however, are the not-so-pretty windowless gray manufacturing facility models that manufacture the world’s whole provide of Botox for a US firm. And Donald Trump desires pharma manufacturing to maneuver residence.
The US president this week stepped up his criticism of American firms’ Irish operations. His threats to impose tariffs to encourage buyers to reshore are weighing on the 7,000 individuals of Westport: some 1,500 of them are employed by AbbVie to make the wrinkle-erasing drug.
“Persons are holding their breath,” mentioned Geraldine Horkan, chief govt of the Westport Chamber of Commerce, who labored at Allergan earlier than its takeover by AbbVie in 2020. “It’s like an aeroplane circling in a holding sample.”
Eire has grow to be a significant base for US pharma firms together with Pfizer, Eli Lilly and Johnson & Johnson.
In addition to Botox — which leaves Westport as vials of powder to be blended with saline answer earlier than injection into superstar foreheads or to deal with cerebral palsy or muscle spasms — factories in Eire churn out lively components for medication together with Viagra, weight-loss treatment Mounjaro and statins for prime ldl cholesterol.
Eire has been speeding to export prescription drugs to the US earlier than any tariff axe falls: in February, 91 per cent of all its items exports to the US had been chemical compounds and associated merchandise, which embody medical and pharma items. Irish pharma exports to the US within the first two months of the 12 months reached almost €20bn, in contrast with €44bn for the entire of final 12 months, in response to official commerce knowledge.
Regardless of Trump’s imposition of worldwide tariffs, which he final week paused at a baseline international fee of 10 per cent pending talks on commerce offers with the EU and different nations, pharmaceutical items are presently freed from tariffs.
Eire’s overseas and commerce minister, Simon Harris, says it might be “inappropriate” and “weird” for the US to impose tariffs whereas negotiating.
However a reprieve appears to be like more and more unlikely. The US commerce division has launched a “Part 232” investigation into the sector which might permit the president to limit imports deemed a menace to nationwide safety.
That would probably result in tariffs within the “subsequent month or two,” US commerce secretary Howard Lutnick mentioned.

Trump, who used a gathering with Taoiseach Micheál Martin final month to complain that Eire “has received the complete US pharmaceutical business in its grasp” on Monday lashed out on the sector once more.
“We don’t make our personal medication, our personal prescription drugs any extra. The drug firms are in Eire they usually’re in plenty of different locations — China,” he mentioned.
Allergan opened a plant to provide contact lens answer and eyecare merchandise in Westport in 1977. Now, the true money-spinner is Botox however the facility additionally produces eyecare prescription drugs and 70 per cent of Westport’s manufacturing is offered within the US, in response to the Irish operation’s most just lately filed outcomes, from 2023.
Botox now has opponents making chemically comparable merchandise — rival medication embody Dysport, produced by France’s Ipsen and Xeomin from Germany’s Merz — However AbbVie says it’s assured it might probably preserve its management place.
Whereas Botox for beauty functions introduced in $2.72bn in web revenues final 12 months, in response to AbbVie, therapeutic Botox netted $3.3bn. Tariffs would increase the worth of medicine for customers, and beauty purposes are usually not lined by US medical health insurance.

AbbVie — which doesn’t formally disclose the place it makes its merchandise — invested €160mn in a second biologics facility in Westport 2020 and manufacturing can’t be “shifted in a single day”, mentioned Peter Flynn, a neighborhood councillor and former worldwide director of tax and finance at Allergan. “[Trump’s] low cost remarks aren’t doing anybody any favours,” he mentioned.
“With the automation of manufacturing traces and ever rising high quality requirements, the main target in Eire has modified with multinationals now using extremely certified and skilled individuals, a lot of whom play a key position in R&D,” he added.
Eire is the world’s third-largest pharma exporter, with 90 websites that offer the EU and different nations in addition to the US. Greater than €10bn has been invested within the sector over the previous decade. Denmark, Switzerland and Singapore are different nations with giant pharma sectors now in Trump’s sights.
Many drugmakers have responded by asserting giant investments within the US. Johnson & Johnson has pledged $55bn over the following 4 years, Eli Lilly is investing $27bn, whereas Swiss drugmaker Novartis mentioned final week it might make investments $23bn in manufacturing and R&D.
Pharma bosses have written to European Fee President Ursula von der Leyen warning that Europe dangers dropping €100bn in funding and R&D spending over the following 5 years, as US tariffs and proposed EU reforms on mental property protections make the EU much less enticing.

However Eire is uniquely weak to any Trump motion: in addition to massive pharma, it hosts the European headquarters or giant operations of US tech giants, which von der Leyen has threatened to focus on if tariff talks fail.
Tech and pharma make big company tax contributions which have delivered huge funds surpluses.
Botox has additionally helped Westport develop into a vibrant, bustling city of cruising festivals, eating places, inns, stylish outlets and conventional bars.
In addition to being the city’s greatest employer, the corporate has been a outstanding supporter and sponsor of native initiatives and sports activities groups. “It will be a large loss,” in the event that they left, mentioned Adrian Noonan, proprietor of the Knockranny Home Resort, the city’s first four-star resort, positioned beside the manufacturing facility, who has hosted visiting executives and board conferences.
New pharma crops want regulatory approval, which might imply years of delay in transferring manufacturing to the US, however analysts mentioned executives would by then have already slammed the brakes on future funding plans in Eire.
“We’re all extraordinarily frightened,” mentioned Philip Heaney, a neighborhood pharmacist. “They speak about Canada being the 51st [US] state. However with pharma, we almost are.”