Novo Nordisk is expanding access to its weight loss and diabetes medications, Ozempic and Wegovy, by selling them at Costco pharmacies nationwide. A one-month supply of either drug will cost $499 out of pocket for Costco members with a prescription, a move designed to compete with compounding pharmacies. While the price is the same as offered through other retailers, the expanded availability aims to improve access, despite the fact that cost and insurance coverage remain significant barriers for many, especially those with lower incomes who may benefit most from these medications. Recent research highlighting the drugs’ potential benefits for conditions like stroke and heart health further underscores the importance of wider accessibility.
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Facing financial strain from competition with weight-loss drugs like Ozempic, WW International (formerly WeightWatchers) filed for Chapter 11 bankruptcy protection. This move aims to eliminate $1.15 billion in debt and restructure for future growth, allowing the company to reinvest in its members and innovate within the evolving weight management market. The reorganization is expected to be completed within 40 days, with no disruption to existing members. The company’s acquisition of telehealth provider Sequence reflects its strategic shift towards incorporating weight-loss medications into its services.
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The FDA approved Novo Nordisk’s Ozempic to treat chronic kidney disease in patients with Type 2 diabetes, expanding its use beyond diabetes management. This approval allows Ozempic to reduce the risk of kidney disease progression, kidney failure, and cardiovascular death in this patient population. A late-stage trial demonstrated Ozempic significantly reduced severe kidney outcomes by 24%, slowed kidney function decline, and lowered cardiovascular event risk. The approval highlights the broader health benefits of GLP-1 drugs, impacting treatment for comorbid conditions frequently found together.
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Due to resolved shortages of Eli Lilly’s weight-loss and diabetes medications, Zepbound and Mounjaro, the FDA has ordered a phase-out of copycat versions sold by specialty and online pharmacies. This decision, effective within 60-90 days, benefits Lilly and potentially impacts patient access and costs. The FDA cited improved supply and safety concerns regarding the compounded drugs as reasons for the action. This reversal follows an earlier decision that was met with public opposition and legal challenge.
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Novo Nordisk’s recent announcement to slash US list prices of two insulin products by more than 70% is undeniably a significant event. This dramatic price reduction, while seemingly a benevolent act, is a complex issue with multiple contributing factors beyond simple corporate altruism.
The timing of this price cut is intriguing, coinciding with the Biden administration’s negotiations with pharmaceutical companies to lower Medicare drug prices. While the full effects of these negotiations won’t be felt until 2026, Novo Nordisk’s proactive move suggests a response to the broader pressure for affordability in the insulin market. It’s tempting to see this as a direct result of political pressure, and perhaps it partially is, but it’s likely more nuanced than that.… Continue reading
John Q. Hosedrinker 
Matt Underwood