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Healthcare · Profile from Healthcare Research Companion

Novo Nordisk A/S

The Danish insulin maker, controlled by a charitable foundation, that created the modern obesity-drug market with semaglutide (Ozempic and Wegovy) and briefly became Europe's most valuable company. Between 2023 and 2026 it went from supply-constrained triumph to a cautionary tale: it lost US share to Eli Lilly, fought compounders and telehealth sellers (then partnered with the biggest of them), paid ~$11bn for Catalent fill-finish plants, lost a bidding war for Metsera, replaced its CEO and most of its board, cut ~9,000 jobs, and guided to falling sales in 2026 even as its Wegovy pill became the fastest GLP-1 launch in US history.

At a glance

Founded
Nordisk Insulinlaboratorium 1923 (August and Marie Krogh, H.C. Hagedorn); Novo Terapeutisk Laboratorium 1925 (Harald and Thorvald Pedersen); merged 1989
Founders
August Krogh (Nobel laureate 1920), Marie Krogh, Hans Christian Hagedorn; the Pedersen brothers
Headquarters
Bagsværd, Denmark
Ownership / structure
Public company (Copenhagen: NOVO B; NYSE ADRs: NVO); controlled by the Novo Nordisk Foundation through Novo Holdings (~28% of capital and ~77% of votes, reported) via unlisted A shares with ten times the votes of B shares
Leadership (2026)
Maziar Mike Doustdar, President and CEO (since 7 August 2025); Lars Rebien Sørensen, Chair (elected at the 14 November 2025 EGM, re-elected 26 March 2026); Karsten Munk Knudsen, CFO; Jamey Millar, EVP US Operations (from February 2026, succeeding Dave Moore)
Segments
Diabetes and obesity care (Ozempic, Rybelsus, Wegovy injection, Wegovy HD and Wegovy pill, insulins); rare disease (haemophilia, growth hormone)
Payer and patient
Commercial plans and PBMs, Medicare Part D (semaglutide IRA price $274 from 2027), the Medicare GLP-1 Bridge for obesity ($50 copay from 1 July 2026), Medicaid, cash-pay via NovoCare Pharmacy, TrumpRx, retail pharmacies and telehealth partners; international health systems
Scale
2025 sales DKK 309.1bn (~$45bn+; +6% in DKK, +10% at CER), incl. DKK 82.3bn obesity care; 68,794 full-time equivalents at end-2025 (−10%; the annual report also cites ~69,500 people including part-timers) and ~67,900 in Q1 2026; 2026 adjusted-sales guidance −5% to −13% (February), −4% to −12% (May), 0% to −6% (August), at CER
Capital / market cap
Market cap peaked at ~$600bn+ (mid-2024, reported); the ADR traded at ~$39 on 29 October 2026, roughly a quarter of its 2024 peak (reported prices); DKK 15bn buyback running from February 2026
Signature moves (incl. failures)
1989 merger; Victoza and Saxenda (2010–14); Ozempic (2017); Wegovy and the shortages (2021–25); Catalent (2024); compounding fight, the Hims partnership and split (2025) and the 2026 lawsuit-then-collaboration; CEO change, board overhaul and 9,000 job cuts (2025); government deal, price cuts and Wegovy pill (2025–26); Metsera bid lost (2025); CagriSema losing head-to-head trials to tirzepatide (2026)

8 strategic moves analysed

Each one gets a full strategy file in the companion: context, the decision, the financing, what happened, and the lesson.

  1. 1989

    Novo and Nordisk Merger

    Merger

  2. 2010

    Victoza and Saxenda

    Launch

  3. 2017

    Ozempic Launch

    Launch

  4. 2021

    Wegovy Launch and Shortages

    Launch (constrained by supply)

  5. 2024

    Catalent Acquisition

    Acquisition (capacity, via a two-step structure)

  6. 2025

    CEO Change and Restructuring

    Restructuring / leadership change

  7. 2025

    Compounding Fight and Hims Partnership

    Partnership (terminated), litigation, then a second partnership

  8. 2025

    Price Cuts Government Deal and Wegovy Pill

    Pricing change (government agreement) and launch