Novo Nordisk, Lilly Deny Partnership with Mangoceuticals on Obesity Drugs

North America
Source: ReutersPublished: 11/14/2025, 05:52:20 EST
Novo Nordisk
Eli Lilly
Mangoceuticals
Obesity Drugs
Telehealth
Pharmaceutical Distribution
Regulatory Risk
A combination image shows an injection pen of Zepbound, Eli Lilly's weight loss drug, and boxes of Wegovy, made by Novo Nordisk. REUTERS/Hollie Adams/Brendan McDermid/Combination/ Purchase Licensing Rights, opens new tab

News Summary

Novo Nordisk and Eli Lilly denied on Thursday any partnership with telehealth provider Mangoceuticals regarding weight-loss drugs, hours after Mangoceuticals disclosed arrangements with the two pharmaceutical giants. An earlier statement from Mangoceuticals, claiming partnerships with Novo Nordisk and Lilly to offer blockbuster weight-loss drugs to self-paying patients, had caused its shares to surge nearly 30% in premarket trading. However, following the denials from the drugmakers, Mangoceuticals' shares closed at $1.19, down 32.4% from Wednesday's closing price of $1.76. Mangoceuticals later clarified that while it "has no direct contractual relationship with Eli Lilly or Novo Nordisk," it is now directly offering their GLP-1 weight-loss drugs to customers through its MangoRx Direct and Peaches RX Direct platforms. Last year, Lilly had sued Mangoceuticals for selling products claiming to contain tirzepatide, the main ingredient in its weight-loss drug Zepbound, a lawsuit that was settled earlier this year. U.S. regulations permit compounding pharmacies to replicate brand-name medicines in short supply. Both Novo Nordisk and Lilly have partnered with multiple telehealth platforms to sell their weight-loss drugs, while also selling directly to U.S. consumers via platforms like LillyDirect and NovoCare.

Background

GLP-1 receptor agonist drugs, such as Novo Nordisk's Wegovy and Eli Lilly's Zepbound, have emerged as breakthrough medications for weight management and diabetes treatment, with immense market demand. Due to their significant efficacy, these drugs have frequently faced supply shortages over the past year. Major pharmaceutical companies like Lilly and Novo Nordisk are actively expanding their distribution channels for weight-loss drugs, including direct-to-consumer sales through their own platforms like LillyDirect and NovoCare, and partnerships with various third-party telehealth platforms. This direct sales and distribution strategy aims to meet the vast market demand and ensure compliant drug supply. Last year, Lilly sued Mangoceuticals for selling compounded products containing unauthorized tirzepatide (the active ingredient in Zepbound), underscoring big pharma's focus on brand protection and product integrity. U.S. regulations allow compounding pharmacies to create replicas of brand-name drugs when they are in short supply, which has created an avenue for some telehealth companies to sell "cheaper copies" of GLP-1 medications. Furthermore, the Trump administration's TrumpRx.gov site, set to launch in early 2026, will direct consumers to these drugs at reduced prices, further impacting market pricing and distribution dynamics.

In-Depth AI Insights

What does this incident reveal about the complex relationship and potential risks between brand pharmaceutical companies and telehealth platforms in the GLP-1 drug market? - This incident highlights the high vigilance of brand pharmaceutical companies (like Novo Nordisk and Lilly) against third-party platforms leveraging their brand influence to sell drugs, even if these platforms claim no "direct contractual relationship" but are still offering their GLP-1 medications. - Pharmaceutical companies aim to strictly control the distribution and pricing of their high-value drugs through proprietary platforms like LillyDirect and NovoCare, as well as a limited number of authorized partners, to maintain brand reputation, ensure product quality, and maximize profits. - For telehealth platforms, strategies involving selling compounded drugs or claiming to offer brand-name drugs, especially without explicit authorization and amidst original drug shortages, carry extremely high legal and reputational risks. Considering existing U.S. regulations allowing compounding pharmacies to replicate drugs in short supply, and the Trump administration's intent with TrumpRx.gov, how might the GLP-1 drug market evolve? - The launch of TrumpRx.gov could further expand access to GLP-1 drugs and potentially lower prices, thereby increasing the overall market size. However, it may also intensify price competition, putting pressure on the profit margins of brand pharmaceutical companies. - As supply gradually improves, brand pharmaceutical companies are likely to take a stronger stance to restrict compounded drugs and unauthorized distribution to protect their intellectual property and market share. - The market will likely gravitate towards sales through controlled channels (pharma's own platforms, authorized partners, and government-approved initiatives like TrumpRx.gov), squeezing out telehealth platforms operating in regulatory gray areas. What are the deeper implications of this event for investors in the relevant companies and the broader GLP-1 drug investment sector? - Investment risks in the GLP-1 drug sector now extend beyond clinical trials and market competition to include legal risks related to regulatory compliance, distribution channel control, and brand protection. - For brand pharmaceutical companies like Novo Nordisk and Lilly, their ability to ensure supply, maintain brand integrity, and effectively execute direct sales strategies will be key competitive advantages. Investors should monitor the robustness of their distribution networks and their efforts to combat gray markets. - For telehealth or compounding pharmacies attempting to "freeride" on popular brand-name drugs, their business model faces extremely low sustainability and constant risk of legal challenges and business disruption. Investments in such companies should be approached with extreme caution.