What is Ozempic? Why is Everyone in India Talking About This?

What is Ozempic?

In the medical world, the headlines made by Ozempic has been battered by few. This is an injection developed by the pharma giant Novo Nordisk from Denmark. It has become a big buzz among people with type 2 diabetes and those looking to lose weight. It’s like the Swiss army knife of drugs: it helps manage blood sugar levels and supports weight loss—two birds with one stone, a very expensive stone!

Ozempic (the brand name for semaglutide) works by mimicking a hormone our body produces called GLP-1. This hormone helps regulate blood sugar and also tells your brain, “Hey, I’m full now.” So, in addition to lowering blood sugar, it curbs appetite. And voilà, weight loss happens.

While Ozempic is a brand name, it is used as a generic term to describe a class of drugs used that result in weight loss similar to usage of ‘xerox’ for photocopying owing to its high media coverage. Besides Ozempic, this category includes drugs like Wegovy, Zepbound and Mounjaro. These drugs are not the same and have distinctions. However, they have several similarities in trends, uses, risks and therefore have been referred to as ‘Ozempic’ or ‘semaglutide’ as a class at several places for ease of understanding.

As we delve into the topic of Ozempic in India, the big question remains: Is its high price tag actually justified? Or is Ozempic that one ‘magic pill’ that the people suffering from obesity have been waiting for?

How Much Does Ozempic Cost in India?

Here’s where it gets tricky. Ozempic is exorbitant. It is available as a pack of four injectable pens, which lasts about a month. Ozemic injection price or Semaglutide injection in India cost anywhere between ₹6,000 and ₹8,000. That’s a whole lot of rupees for a product that you’ll need to keep buying month after month for long-term usage.

Now, let’s put that into perspective. For the large mass of population in rural or urban India, there is no point in looking at Ozempic as an option at present, given its unaffordability. However, even for the middle and upper middle strata of the Indian society (and frankly even abroad), the price pinches the pocket. So when it comes to the affordability of semaglutide India faces a serious roadblock amongst its masses. If you’re living paycheck to paycheck, spending thousands on one drug every month just isn’t practical. However, there is no shortage of wealthy Indians- HNIs and UHNIs, some of whom are seriously contemplating Ozempic as an option.

Ozempic price in India: Why so high?

If you’re wondering, “Why is Ozempic so expensive?!”, you’re not alone. There are several factors causing this.

1. Research and Development (R&D): Developing a drug like Ozempic is a big achievement. Novo Nordisk claims to have spent over 2 decades and billions of dollars to make sure that the drug works safely and effectively. This includes clinical trials, regulatory approvals, and testing. Guess who picks up that bill if they succeed? You. The price of the drug reflects those costs.
2. Manufacturing Costs: Ozempic is an injectable, and injections/pens require a different production process than a typical pill. The manufacturing process is more complicated and expensive, which adds to the final price.
3. Patents and Exclusivity: For several years to come, Novo Nordisk has exclusive rights to sell Ozempic. This patent exclusivity means they don’t have to worry about competition and can set monopolistic prices. So, you may be wondering when the generics are gonna be available? Not anytime soon- Generics won’t hit the market until the patents expire.
4. Import Taxes and Shipping Costs: Ozempic is an imported product, and so it comes with its share of import duties and shipping costs. These costs are passed on to the consumer, making it even harder to afford.
5. Demand and Popularity: Ozempic isn’t just for diabetes anymore. With the rise of its off-label use for weight loss (thanks to all the social media buzz), the demand for this drug has skyrocketed. And as demand increases, so does the price.

Semaglutide vs. Tirzepatide

Ozempic and Wegovey are Semglutide, produced by Novo Nordisk. They are different in terms of dosage, needles and administration. On the other hand, Mounjaro and Zepbound are Tirsepatide and made by Eli Lilly. Semaglutide are GLP-1 receptor agonist that activate GLP-1 receptors. They help in blood sugar control and simulating satiety. Tirsepatide work by mimicking two hormones, GLP-1 and GIP. It is claimed by certain factions that due to the dual impact of Mounjaro and Zepbound, they may have greater impact on weight loss than ozempic.

Approvals and eligibility

Some points to remember on approvals, eligibility, dosage and purpose:

• Ozempic and Mounjaro are FDA approved for diabetes and not for weight loss or obesity treatment. Ozembic is approved for a dosage upto 2mg.
• Wegovey and Zepbound have been approved for obesity treatment also, subject to some conditions such as BMI levels and existence of other symptoms like diabetes, cholesterol, BP, etc. that cause health risks.
• The approvals have restrictions on dosage and progressive dosage per week is administered on these, as determined by the healthcare professional.

Is Ozempic available in India? Where?

Ozempic is available in India but it’s mostly sold through private hospitals, specialty pharmacies, and online stores. But if you’re relying on government-run hospitals or public health programs, you’re out of luck. It’s just not available at a lower cost through the government, and that’s where a lot of the frustration lies.

In fact, there has been news of discussions around including Ozempic in India’s Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), a program aimed at providing affordable medicines to the masses. But as of now, that’s still in the “maybe one day” category. The idea of helping people who need the drug the most, but can’t afford it, is important, but it’s a slow-moving process.

Economic times has reported recently that Indian Pharma companies like Cipla, Sun Pharma, Lupin, DRL have started working on creating their own versions of Wegovey in India, given the inability of Novo Nordisk to meet the prevailing demand.

Some practical points on where to buy ozempic tablets or injections (at the time of this article):

• Ozempic India availability is a challenge due to stock outs (pent-up demand outsripping supply)
• Prescription medicines: These medications require a prescription from a licensed professional for diabetes and can be sourced from select pharmacies or online based on the prescription (which can also be managed online). To get Ozempic online in India, some options include 1mg, Pharmeasy, and Netmeds.
• In tablet form, it is available online and offline. E.g. Rybelsus 7 mg is listed on Amazon at around Rs 3000 to 3500 for 10 tablets as on date.
• Check on insurance- As insurance availability varies for different options.
• We strongly recommend abstaining from the grey market to avoid risk of contamination and piracy. Indian gray markets are much in news as drugs are sold cheaper, e.g. There is a lot of buzz about Wegovey India prices in the gray market being below 10,000, i.e. fraction of western prices.

Semaglutide tablets price in India and availability

If you’re not a fan of needles, or overwhelmed by the idea of weekly injections, then Rybelsus is an option. This is the oral version of semaglutide (Ozempic tablets), and it’s available in India as well. A 30-tablet pack of Rybelsus costs around ₹3,000 to ₹6,000 and may seem like a better deal on paper.

However, while Rybelsus might sound like a convenient option, it’s not a perfect substitute for the injections. It’s effective for weight loss may not be the same, and its dosage would also likely differ from Ozempic. Plus, just like Ozempic, it’s still not widely available in public healthcare centers. So, unless you’re willing to pay out-of-pocket, Rybelsus might not be much easier to access.

Should you use Ozempic for weight loss? Benefits and Side Effects of Ozempic

While Ozempic was originally designed to treat type 2 diabetes, its success in helping people lose weight has caught a lot of attention. In clinical trials, people on Ozempic have lost up to 15% of their body weight, and that’s a big deal for many struggling with obesity.

But there’s a catch: It’s not all ‘abracadabra’! Ozempic has some side effects, including nausea, vomiting, and diarrhea. Not something you want to deal with while trying to lose weight. And then there are the more serious risks, like potential pancreatitis or thyroid issues (though these are rare).

Additionally, there’s an ongoing debate about whether Ozempic should be used just for weight loss. All said and done, it’s not a “magic pill” that fixes unhealthy eating habits or sedentary lifestyles. Some argue it’s just a quick fix that doesn’t address the root causes of obesity, which could lead to regaining weight, once the drug is stopped. So, while it may be effective, it can’t be treated as a long-term solution for everyone.

What are the alternatives to Ozempic in India?

Ozempic isn’t the only option for diabetes and weight loss. Here are some alternatives:

1. Changes to lifestyle: Eating healthy and exercising regularly are still considered the best ways to manage weight and diabetes. But as we know, that’s easier said than done. Yet, it’s free and effective in the long run.
2. Metformin: This is among the most common and affordable treatments for type 2 diabetes in India. It doesn’t help with weight loss as drastically as Ozempic, but it certainly helps in managing blood sugar.
3. Orlistat: This is a drug available at the chemist store that reduces fat absorption in your body, thereby helping in weight loss. It’s cheaper than Ozempic but can cause some stomach issues. So, in case you don’t mind the occasional digestive discomfort, it might be worth considering.
4. Surgery: For severely obese people who have tried everything else, surgery might be an option. It’s expensive and carries risks, but it can be life-changing.

It is important to note that most alternative approaches have their own set of advantages, limitations, and potential risks. Consultation with a healthcare professional or doctor is essential to determine the treatment plan most suitable to individual needs.

Verdict: Is Ozempic Worth It?

The price of Ozempic in India is a mixed bag. On one hand, it’s a highly effective drug for managing diabetes and sometimes helping with weight loss, and the high price reflects the cost of past R&D and manufacturing coupled with the demand supply situation. On the other hand, it’s just too expensive for most people in India, especially when the average person has to cross a budget just enough to survive.

The question of whether the price is justified depends on who you ask. From Novo Nordisk’s point of view, the price helps cover costs and fund future research. But for many Indians, the high price creates a barrier to access. So, what is the solution? Nothing tangible yet. Perhaps, we need better pricing models, subsidies, or even cheaper generics. Until then, most people may have to keep looking for more affordable solutions.

If you’re thinking about using Ozempic, or for that matter, any other weight loss or diabetes medication, we recommend talking to a doctor or healthcare professional first. They’ll help you find the best treatment plan for your situation. Don’t just rely on what you read online (or what you see on Instagram). First ensure there are ticks for a quick fix.

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