The Danish pharmaceutical giant grapples with competition, tariffs, and insurance coverage issues as it experiences a dramatic decline in share value.
BAGSVAERD, DENMARK – Novo Nordisk, a leading player in the European weight-loss market, is navigating a landscape increasingly fraught with challenges, including the emergence of competing products, potential tariffs from the United States, and ongoing insurance coverage issues that could impact sales of its flagship drugs, Ozempic and Wegovy.
The company has seen its shares plummet by 59 percent since June, prompting significant leadership changes, including the recent resignation of CEO Lars Fruergaard Jørgensen, who stepped down amid escalating market pressures.
Novo Nordisk, once lauded for its innovative diabetes and weight management medications, briefly surpassed French luxury giant LVMH to become Europe’s most valuable publicly listed company.
In North America, which accounts for 61 percent of Novo Nordisk’s sales, the company faces intense competition from U.S. rival Eli Lilly, whose weight-loss product, Zepbound, has made inroads into the market.
The hefty price differential between the U.S. and Europe—with Ozempic costing approximately $1,000 per month in the U.S. compared to around $92 in Germany—raises concerns about the sustainability of its current pricing strategy in light of potential U.S. government intervention.
Former President
Donald Trump previously threatened significant price reductions for medications, singling out Ozempic during public announcements about national drug pricing policies that could impact the company’s stock and profitability.
Novo Nordisk’s exposure to U.S. tariffs remains a critical concern, given its heavy reliance on the American market for sales.
Industry experts, including those from the International Monetary Fund (IMF), suggest that tariffs may not solely inhibit the pharmaceutical sector, as Denmark often relies on third-party manufacturers, though broader trade tensions could pose greater long-term challenges.
Adding to these hurdles is the growing prevalence of copycat and counterfeit drugs in Europe, as demand for Ozempic has led to supply shortages.
Reports indicate a rise in the number of illegally marketed alternatives that may not contain the active ingredient semaglutide, prompting Novo Nordisk to commit to rigorously defending its patents against infringements.
The health insurance landscape in Europe poses another obstacle, as many countries are hesitant to reimburse weight-loss medications, considering their use for aesthetic rather than medical reasons.
However, recent discussions in France regarding a potential new obesity plan signal that insurance policies may be poised for change, which could facilitate better access to Ozempic and similar treatments in the region.
In the legislative arena, EU member states are engaged in deliberations over pharmaceutical legislation revisions, with Denmark advocating for extended data protection monopolies and Poland seeking shorter terms.
Denmark is set to assume the rotating EU presidency in June 2024, which may provide the opportunity to influence discussions regarding pharmaceutical regulation and accessibility.
As Novo Nordisk navigates these evolving challenges, the company is under pressure to adapt and maintain its position in a rapidly changing market.
With competitors tightening their grip and global economic factors at play, the future trajectory of this Danish crown jewel remains uncertain.