Finance
Novo Nordisk Cuts Wegovy Price in South Africa for a Second Time
Published by Global Banking & Finance Review®
Posted on March 25, 2026
3 min readLast updated: March 25, 2026
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Novo Nordisk has reduced the price of its injectable Wegovy weight‑loss drug in South Africa for a second time since its August launch, cutting lowest-dose prices from R3,090 to R1,873 and high doses by 27%, amid aggressive competition from Eli Lilly’s Mounjaro.
Novo Nordisk Reduces Wegovy Price Again to Compete in South African Market
Price Reductions and Competitive Landscape in South Africa
By Nqobile Dludla
Recent Price Cuts and Market Strategy
JOHANNESBURG, March 25 (Reuters) - Novo Nordisk is cutting South African prices of its weight-loss drug Wegovy for a second time since it launched in August, local executives said on Wednesday, pointing to fierce competition in a market led by rival Eli Lilly.
The Danish drugmaker launched Wegovy in South Africa in August, when reference pricing was uncertain due to talks with the U.S. administration on its proposed "most-favoured nation" policy linking U.S. drug prices to those in peer countries.
Initial Pricing and Adjustments
"We were of the view that the prices at the time were not conducive for the South African market," Thabeng Leping, who oversees market access and public affairs for Novo Nordisk South Africa, told Reuters on the sidelines of an event about obesity.
"Because we couldn't delay the launch, we just decided we'll fix it as we go along," he said. "So we reduced our prices in December. We've submitted another reduction of our prices yesterday."
Current Price Points and Pending Reductions
The lowest injected dose of Wegovy has dropped from 3,090 rand ($183) to 1,873 rand, while the highest dose has fallen 27% to 3,746 rand. A further 12% cut to the 1.7 mg dose - the second highest - is awaiting approval, Leping said.
Competition from Eli Lilly and Market Share
Eli Lilly's rival Mounjaro starts at about 3,600 rand. Its share of the South African market grew to 52% at the end of January, Aspen Pharmacare, the official seller of Mounjaro, said this month, predicting more than 1.3 billion rand ($77 million) in sales in the year through June.
Novo declined to give local sales figures, saying only that its products were doing "extremely well".
Future Plans and Regulatory Challenges
Speaking on a panel at the event, Novo South Africa General Manager Sara Norcross said the company intends to introduce its Wegovy pill locally "as soon as possible".
Copycat Drugs and Legal Action
Both Novo and Lilly face competition from unauthorised copycat versions of their drugs, which Norcross said were used by one in two people on weight-loss treatments in South Africa despite adverse outcomes.
Novo has pursued legal action against a local compounder, while the health regulator is moving to classify such products as "undesirable."
Exchange Rate Information
($1 = 16.9093 rand)
(Reporting by Nqobile Dludla; editing by Philippa Fletcher)
Key Takeaways
- •This marks Novo’s second local price reduction, signaling heightened price competition in the booming South African GLP‑1 weight‑loss market.
- •Eli Lilly’s Mounjaro now commands over half of South Africa’s GLP‑1 market, pressuring Novo’s market position.
- •Regulators and Novo are battling a parallel threat from unauthorised copycat GLP‑1 products sold online, posing safety concerns for consumers.
Frequently Asked Questions about Novo Nordisk cuts Wegovy price in South Africa for a second time
1Why did Novo Nordisk cut the price of Wegovy in South Africa?
Novo Nordisk reduced Wegovy's price due to fierce competition in South Africa's weight-loss market, primarily against Eli Lilly's rival drug, Mounjaro.
2How much is Wegovy now after the recent price cuts?
The lowest injected dose of Wegovy dropped to 1,873 rand, while the highest dose is now 3,746 rand, with further cuts pending approval.
3Who leads the South African weight-loss drug market?
Eli Lilly, with its drug Mounjaro, currently leads with a 52% market share as of January.
4Are there unauthorised versions of these weight-loss drugs in South Africa?
Yes, unauthorised copycat versions are widely used, making up about 50% of treatments, despite reported adverse outcomes.
