Healthy Returns: New FDA rules affect copycat GLP-1s, and Apple adds health tools to its latest Watch

Global
Source: CNBCPublished: 09/11/2025, 00:12:13 EDT
FDA
Apple Inc.
Eli Lilly
Novo Nordisk
GLP-1 Drugs
Wearable Health Technology
Pharmaceutical Regulation
Healthy Returns: New FDA rules affect copycat GLP-1s, and Apple adds health tools to its latest Watch

News Summary

The U.S. Food and Drug Administration (FDA) has taken new steps to crack down on cheaper, copycat versions of popular GLP-1 weight loss and diabetes drugs. The FDA will publish a "green list" of raw GLP-1 active pharmaceutical ingredients (APIs) from foreign suppliers whose facilities meet rigorous U.S. standards, aiming to block the import of potentially dangerous compounded versions. While beneficial for patient safety, analysts suggest the FDA's move stops short of an outright ban, implying branded manufacturers like Eli Lilly and Novo Nordisk will still need to rely on litigation to combat competition. Meanwhile, Apple unveiled the Apple Watch Series 11 at its annual hardware event, introducing two notable new health features: a possible hypertension alert and a sleep score. The hypertension alert analyzes patterns in how blood vessels respond to heartbeats, advising users to consult a doctor if issues are identified, though it is not a direct diagnosis. The sleep score feature aims to help users understand their sleep quality. These updates further solidify Apple's push into health technology.

Background

In recent years, consumers have flocked to compounded GLP-1 treatments due to limited insurance coverage and supply shortages of branded obesity drugs like Novo Nordisk's Wegovy and Eli Lilly's Zepbound. The FDA has previously identified serious concerns with compounded versions of semaglutide and tirzepatide (the APIs used in Wegovy and Zepbound, respectively), including dosing errors leading to hospitalizations. Apple has been increasingly pushing deeper into healthcare, with its Apple Watch series already featuring health capabilities such as heart rate monitoring, ECG, and blood oxygen measurement. These latest updates represent another significant step in its ongoing expansion of its health tech ecosystem and its gradual entry into regulated medical areas.

In-Depth AI Insights

What are the long-term competitive implications of the FDA's "green list" strategy for branded GLP-1 drug manufacturers? - While the FDA's move aims to enhance safety, by not issuing a full ban on compounded versions, it implicitly legitimizes a segment of the copycat market under quality control. This may force companies like Eli Lilly and Novo Nordisk to rely more on costly and time-consuming litigation to protect their market share, rather than solely depending on a comprehensive regulatory crackdown. - Analysts suggest the impact of compounded competition is greater for Novo Nordisk, which has already cut its Wegovy sales guidance due to this. Eli Lilly, stating the FDA's move is an "important first step," urges more action, indicating branded pharma believes current regulations are insufficient to fully curb the compounded threat. - Strategically, this encourages branded manufacturers to accelerate the development of next-generation GLP-1 drugs and maintain a competitive edge through differentiated innovation. It also likely intensifies their defense of existing patents, potentially leading to significant lawsuits against telehealth companies like Hims & Hers, seeking a "game-changer" legal victory. What is the evolving direction of Apple's long-term healthcare strategy by integrating more health features into the Apple Watch? - Apple is moving from passive health monitoring (e.g., step counting, heart rate) towards more proactive and predictive health insights (e.g., hypertension pattern recognition, in-depth sleep analysis). This indicates its goal is not just to provide fitness tools but to become an "intelligent companion" for users' daily health management, offering data support for early disease warning and lifestyle interventions. - Although Apple emphasizes these features are not diagnostic tools and require FDA clearance, its continued deep dive into regulated medical areas is steadily building its credibility within the professional healthcare ecosystem. In the future, this could lay the groundwork for deeper collaborations with healthcare providers, insurance companies, and pharmaceutical research firms, opening up new service and data monetization models. - The challenges lie in balancing user data privacy with health data utilization, navigating stringent medical regulations, and ensuring the accuracy of health recommendations. Successfully overcoming these will position Apple favorably in the growing digital health market and could become a new engine for its services business growth.