Authorize Generic GLP-1s: Public Citizen
Public Citizen is petitioning HHS to authorize generic competition for Novo Nordisk and Lilly’s GLP-1 weight-loss drugs. A Public Citizen statement says that generic forms of Novo Nordisk’s Wegovy, Ozempic, and Rybelsus (all semaglutide), and Lilly’s Mounjaro and Zepbound (all tirzepatide) are expected to begin selling in Canada this year for less than $100.
“In the United States,” the statement says, “Novo Nordisk’s and Eli Lilly’s exorbitant pricing on GLP-1s is limiting access for patients while having catastrophic effects on health program budgets. Novo Nordisk and Eli Lilly have repeatedly price-gouged the U.S. compared to other countries including Canada, Japan, and the UK., charging Americans up to 16 times as much for the same treatments.”
The advocacy group says that between 2020 and 2024, Medicare’s gross spending on the Novo Nordisk semaglutide products increased nearly ten-fold, reaching $15.16 billion in 2024, despite a prohibition on coverage for weight loss. It says that generic competition could save Medicare more than $8 billion for currently covered indications in the first two years, which Public Citizen says is over $3 billion more than the estimated savings that could be achieved through prices set as part of voluntary agreements between the Trump administration and the companies.
Public Citizen says that under existing law, the government has the power to overcome patent barriers at any time. “If Trump were serious about lowering drug prices,” it says, “he would challenge Novo and Lilly’s patent monopolies and not let Americans continue to pay the highest prices in the world.”