TL;DR
Novo Nordisk has launched the first oral GLP-1 weight‑loss medicine, Wegovy, in the United States at lower prices than injectable alternatives. The daily pill is now available at major pharmacies and some telehealth services, prompting competitive pricing moves across the sector.
What happened
Novo Nordisk introduced a once‑daily oral version of its GLP‑1 weight‑loss drug Wegovy in the US after receiving regulatory approval shortly before Christmas. The company positioned the pill as a lower‑cost, needle‑free option: the 1.5 mg starter dose is offered to cash‑paying patients at $149 a month (about $5 a day), with higher doses priced up to $299 a month; insured patients can pay from $25 monthly. The 4 mg dose is being sold at $149 a month through 15 April, then rises to $199. The pill is now stocked at more than 70,000 US pharmacies, including major chains, and is available through several telehealth providers and direct‑to‑consumer channels. The launch came as Novo’s shares rose over 4% on the news, even as the company faces strong competition from rivals and recent financial setbacks. The UK regulator is reviewing an application for the pill with a decision expected before year end.
Why it matters
- An oral GLP‑1 option could expand access for people who prefer not to use injections, simplifying daily dosing.
- Lower cash prices for the pill may accelerate a broader price competition across anti‑obesity medicines.
- Wider availability at retail pharmacies and telehealth providers could speed uptake outside traditional specialist clinics.
- Changes in pricing and format could affect insurers, patient out‑of‑pocket costs and market shares among major manufacturers.
Key facts
- Wegovy pill received US regulatory approval just before Christmas and launched in early January.
- The 1.5 mg starter dose is priced at $149 a month for cash‑paying patients (about $5 per day); insured patients pay from $25 a month.
- The 4 mg dose is available at $149 a month through 15 April, then will cost $199; the highest doses are set at $299 a month.
- The pill is the first oral medicine on the market that mimics the GLP‑1 hormone to reduce appetite, according to the company.
- More than 70,000 US pharmacies — including large chains — and several telehealth providers are carrying the starter dose; higher doses are rolling out later in the week.
- Cash purchases of the pill will also be offered via a direct‑to‑consumer website named in reports.
- A UBS pharmaceutical analyst said the launch price was lower than expected compared with typical list prices for injectable weight‑loss drugs.
- Novo Nordisk’s share price rose by over 4% on launch day, though the stock has fallen about 44% over the past year amid tougher competition.
- Rival Eli Lilly is developing its own oral anti‑obesity pill and had indicated plans to cap higher doses at $399 a month if approved.
- The UK medicines regulator is reviewing Novo Nordisk’s application for the Wegovy pill with a decision anticipated before year end.
What to watch next
- Whether the UK regulator approves Wegovy pill before the end of the year, as expected.
- Eli Lilly’s timeline for approval and launch of its competing oral anti‑obesity pill (not confirmed in the source).
- How insurers and pharmacy benefit managers respond on coverage and copay levels for oral GLP‑1 therapy (not confirmed in the source).
Quick glossary
- GLP‑1: A hormone class that affects appetite and blood sugar; several weight‑loss and diabetes drugs work by mimicking or enhancing GLP‑1 activity.
- Wegovy: A branded medication developed by Novo Nordisk that targets appetite via GLP‑1 mechanisms; previously available as an injectable and now offered in oral form in the US.
- Telehealth provider: A service that delivers medical consultations and, in some cases, prescriptions remotely via phone or online platforms.
- Cash‑pay patient: A patient who pays directly for a medication rather than billing through health insurance.
Reader FAQ
Is the Wegovy pill available now?
Yes — the oral Wegovy has launched in the US and the starter dose is available at many pharmacies and through several telehealth providers.
How much does the Wegovy pill cost?
For cash‑pay patients the 1.5 mg starter dose is $149 a month (about $5 per day); insured patients can pay from $25 a month. Higher doses carry higher prices, with top doses at $299 a month.
Has the Wegovy pill been approved outside the US?
Only US approval is confirmed; the UK regulator is reviewing an application with a decision expected before the end of the year.
How much weight loss does the pill produce?
The company reported the pill demonstrated roughly 17% weight loss in trial conditions if patients remained on treatment.
Are long‑term safety and side‑effect profiles detailed here?
Not confirmed in the source.

View image in fullscreen Novo Nordisk’s Wegovy has previously only been available in injectable form. Photograph: Hollie Adams/Reuters Pharmaceuticals industry Novo Nordisk launches Wegovy weight-loss pill in US, triggering price…
Sources
- Novo Nordisk launches Wegovy weight-loss pill in US, triggering price war
- Wegovy pill price shows Novo strategy in weight loss drug …
- Novo Nordisk cuts Wegovy price as CEO pledges to go 'all …
- Novo Nordisk further lowers prices for weight loss, diabetes …
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