January 15, 2026
Finance

Novo Nordisk Faces Legal Challenge Over GLP-1 Drug Practices Amid Share Pressure

Antitrust lawsuit claims Novo Nordisk and Eli Lilly restricted patient access to compounded weight-loss medication options

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Summary

Shares of Novo Nordisk experienced a notable decline following the filing of an antitrust lawsuit by compounding pharmacy Strive Specialties. The complaint alleges that Novo Nordisk and Eli Lilly engaged in practices that limit access to compounded versions of their GLP-1 weight-loss drugs, including exclusive agreements with telehealth providers and interference with payment processors, leading to accusations of monopoly maintenance.

Key Points

Novo Nordisk shares dropped by over 3% following a lawsuit alleging anticompetitive practices.
Strive Specialties claims Novo Nordisk and Eli Lilly blocked access to compounded versions of GLP-1 weight-loss drugs like Ozempic and Wegovy.
The complaint highlights exclusive telehealth agreements preventing doctors from prescribing compounded GLP-1 medications.
Strive is seeking monetary damages and a court order to stop enforcement of exclusivity contracts; Novo Nordisk denies the allegations.

On Thursday, shares of Novo Nordisk A/S (NYSE:NVO) traded lower as the company entered the spotlight of a legal dispute. The Danish pharmaceutical giant faces allegations from Strive Specialties, a compounding pharmacy, accusing Novo Nordisk and Eli Lilly and Co (NYSE:LLY) of anticompetitive conduct restricting access to alternative forms of their widely prescribed GLP-1 weight-loss medications.

The lawsuit, filed on Wednesday in a federal district court located in San Antonio, Texas, centers on claims that Novo Nordisk and Eli Lilly exerted their market position to prevent patients from obtaining compounded, and presumably more affordable, versions of drugs such as Ozempic and Wegovy. Strive Specialties asserts that the two companies entered into exclusive contracts with major telehealth platforms that effectively barred physicians from prescribing compounded GLP-1 formulations, even in instances when individualized dosing would be clinically advantageous.

Furthermore, Strive contends that both pharmaceutical firms went beyond restricting prescribing practices by interfering with its business relationships involving payment processors and technology partners. The pharmacy argues that compounders fulfilled a vital role during medication shortages by offering alternatives unavailable through branded options, yet these companies’ actions hindered access to such compounded products.

Strive Specialties is pursuing financial compensation for damages sustained as well as seeking a court injunction to prevent Novo Nordisk and Eli Lilly from enforcing the alleged exclusivity agreements that restrict compounded drug access. Novo Nordisk has publicly refuted these accusations, stating, “The claims in this litigation are without merit, and we will vigorously defend against them in court.”

Market reaction was prompt, with Novo Nordisk shares declining by 3.40% to $56.91 during Thursday trading sessions at the time of reporting according to Benzinga Pro data. Eli Lilly’s shares likewise demonstrated pressure, reflecting the connection to the dispute.

This legal development occurs against a backdrop where GLP-1 class drugs have become pivotal in obesity and weight management therapies, contributing substantially to market dynamics and competition concerns. The lawsuit underscores the complexities of pharmaceutical distribution channels and the challenges compounding pharmacies face when attempting to offer tailored medication options at potentially lower costs.

In summary, the litigation initiated by Strive Specialties paints a picture of alleged market manipulation by two dominant pharmaceutical entities, illustrating tensions between branded drug manufacturers and the compounding sector. The outcome of this case will be consequential in shaping access and competitive landscapes related to GLP-1 medications.

Risks
  • The legal proceedings may impact Novo Nordisk's operational and financial performance if claims are substantiated.
  • Continued exclusivity disputes could limit patient access to compounded medication alternatives, affecting market competition.
  • Reputational risks for Novo Nordisk and Eli Lilly as allegations of monopolistic behavior gain public and regulatory attention.
Disclosure
Education only / not financial advice
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Ticker Sentiment
NVO - negative LLY - negative
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