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Wegovy Wins FDA Nod for MASH as Novo Rolls Out $499 Cash Ozempic in U.S.

A fresh approval plus a $499 cash offer signals a bid to widen access, blunt copycats.

Ozempic is going down in price.
A combination image shows an injection pen of Zepbound, Eli Lilly's weight loss drug, and boxes of Wegovy, made by Novo Nordisk. REUTERS/Hollie Adams/Brendan McDermid/Combination
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Overview

  • U.S. regulators granted accelerated approval for Wegovy to treat metabolic dysfunction‑associated steatohepatitis in adults with moderate to advanced fibrosis, the first GLP‑1 cleared for this liver disease.
  • The decision rests on the first phase of the ESSENCE trial, where Wegovy showed higher rates of steatohepatitis resolution versus placebo (62.9% vs 34.3%) and fibrosis improvement, with confirmatory data still expected.
  • Novo Nordisk introduced a $499 per month cash price for Ozempic through its NovoCare pharmacy and a GoodRx partnership, matching its existing Wegovy cash offer for eligible self‑pay patients.
  • Shares of Novo Nordisk rose by mid‑single digits intraday after the announcements, while GoodRx jumped roughly 30%–39% on expectations of increased traffic and sales.
  • Novo has sought MASH approvals in Europe and Japan and faces pressure from Eli Lilly’s tirzepatide programs and the continued presence of compounded semaglutide products in the U.S. market.