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WHO Puts Semaglutide and Tirzepatide on Essential Medicines List for Diabetes

The designation aims to lower costs by prompting procurement reforms that open the door to generics.

Overview

  • The WHO limited the listing to type 2 diabetes patients with established cardiovascular disease, chronic kidney disease or obesity, excluding obesity as a stand‑alone indication.
  • Officials said high prices restrict access and urged generic production as patents begin to expire, with Canada expected to see semaglutide generics in 2026.
  • WHO leaders described the move as a catalyst intended to guide national coverage decisions and expand availability in public health systems.
  • The update also added Vertex’s Trikafta/Kaftrio for cystic fibrosis, Merck’s Keytruda for selected advanced cancers, and rapid‑acting insulin analogues.
  • The WHO cited the global burden of more than 800 million people with diabetes and over 1 billion with obesity as context for prioritizing these therapies.