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Novo Nordisk Sets SUS Wegovy Pilot as Brazil’s Semaglutide Patent Nears Expiry

Public hospitals will test a structured obesity-care protocol to generate real‑world evidence for future policy decisions.

Overview

  • Novo Nordisk has agreements with Grupo Hospitalar Conceição in Porto Alegre and the Instituto Estadual de Diabetes e Endocrinologia in Rio de Janeiro, with a third municipal site to be announced.
  • The pilot is slated to begin in the first half of 2026, run for two years with a possible one‑year extension, and proceed via standard public procurement while the company funds staff training and data collection.
  • Participating centers will prioritize patients with obesity plus diabetes or cardiovascular disease and integrate psychological, nutritional and physical‑activity support.
  • Separately, since March 1 patients with prescriptions listing initial and final doses can receive the 0.25 mg Wegovy starter pen free via the NovoDia program on a limited, stock‑dependent basis, and Rybelsus now has monthly pricing of R$565 online or R$615 in stores with two‑box purchases.
  • Anvisa has applications from at least 20 Brazilian manufacturers for semaglutide pens as the patent expires on March 20, so competing products could reach the market after approvals.