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FDA Approves First Oral GLP-1 for Obesity as Novo’s Wegovy Pill Sets January U.S. Launch

The pill debuts with a $149 introductory cash price for the starter dose under a White House arrangement.

Overview

  • The once-daily semaglutide tablet is cleared for chronic weight management and for reducing major cardiovascular events.
  • Novo Nordisk says U.S. availability begins in early January 2026, with pricing for higher doses and insurance coverage still to be detailed.
  • Pivotal trials reported roughly 13%–17% average weight loss over 64 weeks versus about 2%–3% on placebo, with mainly gastrointestinal side effects.
  • Patients must take the pill on an empty stomach with a sip of water and wait about 30 minutes before eating or drinking.
  • The approval gives Novo an early lead over Eli Lilly’s orforglipron, which remains under FDA review and is reported to lack food‑timing restrictions.