Medicare coverage of obesity drugs
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Eli Lilly CEO Says Medicare Coverage Of Obesity Drugs Could Be Game-Changer For Its Weight-Loss Pill - Eli Lilly and Co (NYSE:LLY), Novo Nordisk (NYSE:NVO)
Benzinga· 2026-01-31 05:24
Group 1 - Medicare's upcoming coverage of obesity treatments is expected to significantly increase access to Eli Lilly's experimental weight-loss pill, orforglipron, according to CEO Dave Ricks [1] - The Medicare program could potentially qualify 20 million to 30 million patients, making GLP-1 treatments more affordable and widely used [2] - Eli Lilly plans to launch orforglipron in the second quarter, aligning with the start of Medicare coverage later this year, with initial pricing agreements leading to a "step down" in costs [3] Group 2 - Ricks expressed confidence that Lilly's pill can compete effectively and reach a broader patient base beyond current injection users [4] - Novo Nordisk has significantly increased its advertising spending for GLP-1 drugs, outpacing Eli Lilly, with expenditures of approximately $316 million on Wegovy and $169 million on Ozempic from January to September 2025 [5] - In comparison, Eli Lilly spent about $131 million on its obesity drug Zepbound, a substantial increase from $2 million the previous year, and $83 million on its diabetes treatment Mounjaro [6]
Eli Lilly CEO says Medicare coverage of obesity drugs could 'change the game' for upcoming pill launch
CNBC· 2026-01-30 20:44
Core Insights - Upcoming Medicare coverage for obesity drugs is expected to significantly boost the rollout of Eli Lilly's experimental weight loss pill, orforglipron [1] - Eli Lilly anticipates Medicare coverage to begin immediately after the launch of orforglipron, which could alter the competitive landscape [1] - The early success of Novo Nordisk's GLP-1 obesity pill, Wegovy, indicates a strong market demand, with many early adopters being new to GLP-1 treatments [2] Company Strategy - Eli Lilly is preparing for a "full launch" of orforglipron in the second quarter, coinciding with the introduction of Medicare coverage for obesity medications [2] - The company is confident in its pill's competitive ability against existing treatments, particularly in light of the new Medicare coverage [2] Market Dynamics - The current market shows that many patients are paying out-of-pocket for Novo Nordisk's Wegovy, which has seen a strong start despite inconsistent insurance coverage [1] - The introduction of Medicare coverage for obesity drugs is part of drug pricing deals made with the Trump administration, which could further influence market dynamics [2]