Zip HOLY CRAP!!! Ozempic is at most $250/month in Canada. The US system with all its middle men, kickbacks, rebates etc is a profit driven ripoff. I would bet you the actual cost to the insurance company is less than $250/month, probably even under $200. All the other numbers thrown around are bogus upcharges and hiding kickbacks and payoffs.
Cost and side effects will not stop GLP-1 drugs from absolutely destroying V sales in the AD space if both have similar benefit. It'll be the go to drug. Patients will fight for coverage themselves. That doesn't happen with V outside of this board.
Ozempic alone is projected to have annual sales of $100B in 5 years. You know how many insurance company executives you can buy off with that kind of money to ensure your products get preferential coverage for any new indication? Pretty much all of them.