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South Africa regulator reviews 12 generic semaglutide applications

By Thomson Reuters Jul 21, 2026 | 6:05 AM

By Nqobile Dludla

JOHANNESBURG, July 21 (Reuters) – South Africa’s health regulator is reviewing 12 applications for generic versions of semaglutide, the active ingredient ​in Novo Nordisk’s blockbuster diabetes and weight-loss ‌medicines, it said on Tuesday.

Novo’s patent on semaglutide — used in diabetes drug Ozempic and weight-loss treatment Wegovy — expired this year in South Africa, paving the way for drugmakers to flood ‌the ​market.

The South African Health Products ⁠Regulatory Authority (SAHPRA) said in ⁠response to a Reuters query that it has 12 generic semaglutide applications under review but did not provide the names of the applicants or ​the timelines for potential approval.

Last week, India’s Sun Pharmaceutical Industries became the first company to receive ⁠approval from SAHPRA to ⁠manufacture and sell a generic version in ​South Africa.

The approval of more generic applications could lead ​to lower-cost alternatives in South Africa and intensify ‌competition in the fast-growing GLP-1 market dominated by Novo and U.S. rival Eli Lilly.

Like elsewhere in the world, the companies already face growing competition from ⁠compounded versions of the medicines. In South Africa, regulators have been stepping up efforts to monitor and regulate the ⁠compounded-drug market ‌amid strong demand for lower-cost treatments.

Novo’s ⁠response to the growing competition is ​the planned ‌launch this month of a more ​affordable authorised ⁠copy of Ozempic in South Africa, through a partnership with healthcare company Acino aimed at expanding patient access. It has also cut the prices of Wegovy to make it more accessible.

(Reporting by Nqobile Dludla;Editing ​by Alison Williams)