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More than 50,000 patients will be affected by the Danish Medicines Agency's decision that patients will not receive subsidies for Novo Nordisk's diabetes medicine Ozempic - unless other, treatment have been tried first.
The public subsidy is changing to GLP-1 medication for Type 2 diabetes. Naturally, this raises concerns among many of our members.
Summary of article from the Danish Medicines Agency, click the link to read the full article and why the rules are changing:
The Danish Medicines Agency has made decisions regarding future subsidies for type 2 diabetes medication that is not based on insulin. While most types of diabetes medication will retain their subsidies, certain GLP-1 analogs will face stricter conditions for their subsidies. These changes will take effect from November 25, 2024.
Decisions on medication subsidies take into account factors such as treatment rationale and whether medication prices are in line with their therapeutic effects. GLP-1 analogs such as Ozempic, Trulicity, Rybelsus, and Victoza are significantly more expensive than other types of diabetes medication. Despite recommendations to use cheaper alternatives, many patients have been prescribed GLP-1 analogs directly without trying these alternatives first.
To address this challenge, the Danish Medicines Agency has recommended a transition from general subsidies to individual subsidies for GLP-1 analogs. Additionally, the price of the most commonly used GLP-1 analog, Ozempic, has been reduced by 34% since April 29, 2024. Despite this reduction, GLP-1 analogs remain more expensive than other brands of diabetes medication.
The agency aims to reduce public spending on medication subsidies while ensuring rational medication use. Patients are encouraged to consult their doctors regarding any changes to their diabetes medication and to check for updates on medication subsidies on the Danish Medicines Agency's website or at their local pharmacy.
Overall, the decision aims to adhere to medical guidelines, reduce public spending, and streamline the process for both patients and healthcare providers.
Ozempic® generally receives a conditional subsidy
We are still awaiting the final announcement from LMST regarding changes to subsidy regulations, but it is already recommended to reconsider whether each patient can be switched from GLP1 agonists to equivalent and cheaper alternatives.
Many patients would benefit from and tolerate much cheaper medications such as SU or DPP4 inhibitors. SGLT-2 inhibitors are clinically equivalent to GLP1 agonists for patients with recognized or very high risk of cardiovascular disease, and since GLP1 agonists are more than twice as expensive, it is rational to try an SGLT-2 inhibitor first.
For recognized kidney disease or heart failure, SGLT-2 inhibitors are clinically the best choice. Even in patients with severe obesity with diabetes, there is often no clinical evidence to prefer a GLP1 agonist.
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