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Novo Nordisk launches weekly insulin shot Awiqli in India

By Thomson Reuters Jul 9, 2026 | 1:23 AM

By Rishika Sadam

July 9 (Reuters) – Danish drugmaker Novo Nordisk launched its weekly basal insulin injection, Awiqli, in India on Thursday, aiming to compete with daily-dose options on the market.

Awiqli, which Novo describes as the world’s ​first once-weekly basal, or background long-acting, insulin approved for clinical use, ‌is prescribed for the treatment of type 1 and type 2 diabetes in adults, the company said. It is designed to reduce the number of injections from 365 per year to 52, Novo said.

A once-weekly dose of 70 insulin units of Awiqli is priced at ‌261 ​rupees ($2.74), Novo Nordisk India Managing Director Vikrant Shrotriya told ⁠reporters at the launch in ⁠New Delhi.  It will come in two variants: a 1 ml (700-unit) pen priced at 2,611 rupees, and a 3 ml (2,100-unit) pen priced at 7,833 rupees.

That compares to 345 to 453 rupees for 70 units of daily-dose basal ​insulin products available in the market, he said. Awiqli will be rolled out in the Indian market next week.

More than 101 million people in India ⁠are living with diabetes, while another 136 million ⁠have prediabetes, Novo said in a statement.

Insulin initiation in India ​is delayed by an average of 7-9 years, partly due to fear of ​injections, anticipated pain, and cost concerns, it said.

India has about 6 ‌million people on insulin therapy, a number that Novo Nordisk expects to rise to 9 million in the near future, Shrotriya said, adding that this would benefit the company commercially.

India’s insulin market is projected to grow from $660.5 million in 2025 to $916.4 million by ⁠2034, according to IMARC, driven by rising diabetes prevalence linked to sedentary lifestyles, poor diets, and genetic predisposition.

Awiqli, known generically as insulin icodec, received U.S. approval earlier ⁠this year and has also ‌been approved in the European Union and several other ⁠countries, the company said. India is the seventh country ​where the ‌drug has been launched.

In India, the drug is expected ​to compete ⁠with other basal insulin brands such as Sanofi’s Lantus, as well as lower-cost insulin glargine products marketed by domestic drugmakers such as Biocon, Eris Lifesciences and Lupin.

Separately, Novo is competing with Eli Lilly and a growing number of Indian generic drugmakers in the country’s expanding obesity treatment market.

($1 = 95.4125 Indian rupees)

(Reporting by Rishika Sadam; ​Editing by Rashmi Aich)