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- by Eo, Yun-Ho Oct 12, 2026 08:36am
The obesity drug Wegovy is seeking National Health Insurance reimbursement in Korea.According to Dailypharm's coverage, Novo Nordisk Korea recently submitted a reimbursement application for Wegovy to the Health Insurance Review & Assessment Service (HIRA).The application targets several of the drug's approved indications, including established cardiovascular disease (eCVD), adolescent obesity, and severe obesity.Wegovy (semaglutide), a once-weekly GLP-1 receptor agonist, was launched in Korea in October 2024. Initially approved for weight management in adults, the drug’s indication has since expanded to include cardiovascular risk reduction and obesity in adolescents aged 12 and older.Its cardiovascular indication covers the reduction of major adverse cardiovascular events, including cardiovascular death, nonfatal myocardial infarction, and nonfatal stroke, in overweight or obese patients with established cardiovascular disease and a body mass index (BMI) of at least 27 kg/m².The indication is supported by the SELECT trial, which enrolled 17,604 overweight or obese adults with established cardiovascular disease. Wegovy reduced the risk of major adverse cardiovascular events by 20% compared with placebo.The adolescent obesity indication was approved in Korea in October last year. In the STEP TEENS trial involving adolescents aged 12 and older with obesity, mean BMI declined by 16.1% at week 68 in the Wegovy group, compared with a 0.6% increase in the placebo group. The proportion of patients achieving at least 5% weight loss was also substantially higher with Wegovy, at 72.5% versus 17.7%.In the STEP 1 trial involving adults with obesity, mean weight loss at week 68 was 14.9% with Wegovy versus 2.4% with placebo.Whether the application will ultimately lead to reimbursement remains uncertain. Wegovy must undergo HIRA's assessments of clinical benefit and cost-effectiveness, and reimbursement eligibility criteria for each patient population and the potential impact on National Health Insurance finances are expected to be key.For patients with severe obesity in particular, details such as BMI criteria, comorbidity requirements and criteria for continued treatment are likely to be further specified during the upcoming evaluation process.A Novo Nordisk official said, “Obesity is a chronic disease associated with multiple conditions, including type 2 diabetes and cardiovascular disease, and has lasting implications not only for individuals' health and quality of life but also for public health as a whole.”The official added, “This application is a first step toward improving treatment access, particularly for patients with severe obesity and comorbidities. We will fully engage in the reimbursement review process and continue working to address the unmet treatment needs of patients with obesity in Korea.”