Novo Nordisk’s Wegovy In Medicare Part D: Coverage May Not Be The Only Problem

 
• By Cathy Kelly

Prospect of facing price negotiation in Part D may lead Novo Nordisk to consider earlier-than-currently-planned generic competition for its older semaglutide drug for diabetes, Ozempic.

Price Controls In Medicare On The Horizon? • Source: Shutterstock

The future for Novo Nordisk A/S’s obesity drug in the Medicare Part D market is getting more complicated. Even if efforts by the company and patient advocates manage to change the law to allow for coverage of Wegovy in Part D, it could face significant price controls once it gets there.

Drugs with obesity as their primary indication are currently excluded from Part D coverage, a prohibition that goes back to...

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