[HN Gopher] Novo Nordisk's Canadian Mistake
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       Novo Nordisk's Canadian Mistake
        
       Author : jbm
       Score  : 147 points
       Date   : 2025-10-19 20:39 UTC (2 hours ago)
        
 (HTM) web link (www.science.org)
 (TXT) w3m dump (www.science.org)
        
       | paulpauper wrote:
       | So would it be possible to buy the drug in Canada and ship to US?
        
         | jasongill wrote:
         | not legally, but anything is possible
        
           | OutOfHere wrote:
           | There is nothing illegal about it. People get medicines from
           | abroad all the time that are not generic domestically. It's
           | not a controlled substance. One might have to go through
           | unofficial channels though. In fact, I know people
           | domestically who already get it cheaply from elsewhere
           | abroad.
        
             | js2 wrote:
             | > In most circumstances, it is illegal for individuals to
             | import drugs or devices into the U.S. for personal use
             | because these products purchased from other countries often
             | have not been approved by the FDA for use and sale in the
             | U.S.
             | 
             | https://www.fda.gov/industry/import-basics/personal-
             | importat...
        
         | rootusrootus wrote:
         | I think you may need to drive it across, not ship it, and the
         | quantity limit is a 90 day supply. For people who live close
         | enough to the border, it might be worth it.
        
         | Hilift wrote:
         | Possible, but considering that US Ozempic revenue is $10
         | billion per year between only Medicaid and Medicare, that would
         | attract customs attention. The US market was projected to
         | increase to $58 billion by 2035.
        
         | dlcarrier wrote:
         | Smuggling aside, they generally won't make it through customs:
         | https://www.help.cbp.gov/s/article/Article-1815?language=en_...
        
       | pedalpete wrote:
       | I thought I had a decent handle on patent law, but maybe I'm
       | missing something here.
       | 
       | Yes, the patent won't be valid for Canada, but you can't import a
       | product into the US which would infringe on a US patent.
       | 
       | So, though there may be a small amount that would slip through
       | the cracks, it isn't as if anyone in the US can now manufacture
       | Semaglutide and distribute it.
       | 
       | Canada is such a small market, that many companies don't bother.
       | Though, for the cost, it seems ridiculous a company as big as
       | Novo didn't pay the $500...that may even have been in Canadian
       | dollars. :)
        
         | rootusrootus wrote:
         | As Derek mentions, Canada is the second largest market. There
         | may be a lot coming into the US already, legal or not.
        
         | maximus_01 wrote:
         | Not that small. High income and roughly the same population as
         | California, which isn't too small for companies to bother
         | selling into.
         | 
         | Ozempic did about US$2bn of revenue in 2024 in Canada.
        
         | killingtime74 wrote:
         | Don't worry about the law think about the practical impact.
         | It's now completely legal to ignore the patent in Canada so the
         | price in Canada will plummet.
         | 
         | Canadian pharmacies can legally sell it and Americans (and all
         | other foreigners for that matter) traveling there can legally
         | buy it.
         | 
         | Unlike the criminal law, Novo nordisk would have to go after
         | every single person individually and make the case that they
         | are infringing the American patent. This is all without the
         | help of the police or customs, as a private civil matter.
         | 
         | Obviously this would be uneconomic for Novo Nordisk. You can't
         | search anyone as you don't have any warrants, as it's not a
         | crime and then even if you could, you need to prove that the
         | drugs they have on them were purchased in Canada.
         | 
         | Foreigners who currently pay a huge amount of money would only
         | have to make one trip to Canada in however long period it takes
         | for the drugs to expire. I know I would certainly make a day
         | trip if I was using this drug.
         | 
         | Intellectual property law firms offer services to renew and
         | watch registrations like this worldwide and it would have been
         | very simple to have a contract with one of them.
        
           | tavavex wrote:
           | > Canadian pharmacies can legally sell it and Americans (and
           | all other foreigners for that matter) traveling there can
           | legally buy it.
           | 
           | Well, about that... Aren't all variants of medications like
           | these prescription-only? And in Canada you can't fill a
           | foreign prescription without having a local doctor sign off
           | on it, as far as I know.
        
         | digianarchist wrote:
         | $450 CAD I believe.
         | 
         | US consumers would have to travel to Canada for injections
         | which isn't practical unless you live on a border town.
         | 
         | It's unlikely to meet the bar for personal importation as you
         | say.
         | 
         | That probably won't stop people from trying. There's already a
         | huge market for illegal compounds and GPL-1 drugs are available
         | alongside the usual testosterone and other steroids.
        
           | rootusrootus wrote:
           | If you have a prescription from a provider in Canada, the
           | limit for personal use is 90 days. As long as it is a legal
           | drug in the US -- which I don't think necessarily includes
           | that it's patented here, just that it's approved by the FDA.
           | 
           | > There's already a huge market for illegal compounds and
           | GPL-1 drugs are available alongside the usual testosterone
           | and other steroids.
           | 
           | The peptide and oils markets are both big, but largely
           | separate -- the peptides folks don't seem to want to be
           | associated with oils. Within peptides, GLP1s definitely
           | dominate, though the other options are pretty popular. In my
           | experience it seems like GLP1s are kind of a "gateway
           | peptide" -- a lot of folks start with a GLP1 on the gray
           | market, and then start to branch out and try the other
           | options available.
        
             | digianarchist wrote:
             | You're probably right. I scanned the FDA website and wasn't
             | sure how easy it would be to meet the requirements for
             | personal medicine importation [0].
             | 
             | As a Canadian national in the US I wouldn't even attempt
             | doing this in the current political climate.
             | 
             | [0] https://www.fda.gov/industry/import-basics/personal-
             | importat...
        
             | dawnerd wrote:
             | Flights to Canada can be pretty cheap too. Less than the
             | cost of one month so if you flew out every 90 days you'd
             | still come out ahead. Practically not enough people will do
             | this of course. Would be great for people in the border
             | towns though.
        
               | eek2121 wrote:
               | I don't know about that, Canada is a beautiful country.
               | If I were on the meds, I wouldn't hesitate to fly out for
               | a day trip every 90 days.
               | 
               | Also, let's be real, anyone in the northeast could be
               | there in a few hours driving. New York City is about 7
               | hours away from Ottawa, for example.
        
         | Spooky23 wrote:
         | We don't have laws anymore. Just pay off POTUS so he can
         | declare cheap "fat shots" and let Kushner or Barron own the
         | importer, and you're good.
        
       | jzebedee wrote:
       | > Prof. Michael Hoffman from Toronto put me on to the Canadian
       | Patent Database, where you can find that Novo did file a patent
       | there for semaglutide. . .but the last time they paid the annual
       | maintenance fee on it was 2018!
       | 
       | > You can even find a letter where their lawyers send a refund
       | request for the 2017 maintenance fee ($250) because Novo
       | apparently wanted some more time to see if they wanted to pay it.
       | 
       | > On the same date in 2019, the office sent a letter saying that
       | "The fee payable to maintain the rights accorded by the above
       | patent was not received by the prescribed due date. . ."
       | 
       | > By that time it was $450 with the late fee added, but that was
       | apparently too much for Novo. They had a one year grace period to
       | make it up, and apparently never did, so their patent lapsed in
       | Canada. And as the Canadian authorities remind them, "Once a
       | patent has lapsed it cannot be revived".
       | 
       | Impressive failure for "the second-largest semaglutide market in
       | the world."
        
         | eulgro wrote:
         | To be honest, given the efficiency of the drug and the huge
         | benefit it could be to society, I feel like if I had been the
         | employee in charge of filing patents I would've more than ready
         | to lose my job in exchange for low cost general availability in
         | the US via (illegal maybe, whatever) cross-border market. It's
         | a nice loop hole and a great thing that once the delay expired
         | they can't file ever again.
         | 
         | One's got to find ways to feel like the good guy when working
         | for Big Pharma . That's probably not what happened but it's
         | nice imagining it.
        
           | Vinnl wrote:
           | Maybe they'd even do it in exchange for just low-cost general
           | availability in Canada!
        
         | 0cf8612b2e1e wrote:
         | I always wonder-in this case of such an epic company fuck up,
         | does anyone ever get fired? Or is responsibility so diffuse
         | that nobody is ultimately responsible?
         | 
         | Pharma companies are really nothing more than holders of time-
         | limited, expensive, exclusive IP. The number one priority
         | should be to maintain those protections as long as possible.
         | How could any patent be allowed to lapse, even if there was
         | limited commercial value, let alone, a blockbuster drug making
         | billions?
        
           | ionwake wrote:
           | after working in many companies for decades I can guarantee
           | that the person responsible is some middle manager, who will
           | just blame one of her/his workers who had that piece of work
           | "deprioritised" to instead focus on the styling of a
           | spreadsheet. The paper trail will point to the manager, who
           | will just claim it was allocated to a problem character.
           | 
           | The cartharsis comes in knowing that them firing the innocent
           | just keeps them repeating the mistake.
        
           | userbinator wrote:
           | _Or is responsibility so diffuse that nobody is ultimately
           | responsible?_
           | 
           | That's exactly how things like this happen. No one has
           | responsibility, thinking it's someone else's problem, so no
           | one bothers to do the needful.
        
             | JumpCrisscross wrote:
             | > _thinking it 's someone else's problem, so no one bothers
             | to do the needful_
             | 
             | Or it's in someone's political interest to let the fuckup
             | play out.
        
           | bawolff wrote:
           | Typically when people get fired for something like this they
           | are just the scapegoat.
           | 
           | A failure like this isn't just one dude forgetting, its a
           | system failure where policies and checks failed. If it is
           | solely up to one person that is a failure in and of itself.
        
         | gpt5 wrote:
         | Canadian manufacturers (Sandoz and Apotex) are preparing to
         | launch their own generic versions in early 2026.
         | 
         | I bet many Americans would travel to Canada to buy it there
         | (despite the legality concerns). The medications lasts 2 years
         | in a refrigerator.
        
           | rootusrootus wrote:
           | If you're going to go for a two year supply, it's probably
           | better to just risk shipping it. You're not going to come
           | home with that much without it getting confiscated, and
           | you're way more likely to be searched individually than a
           | typical package is.
        
             | themafia wrote:
             | You should be able to travel with a 90 day supply without
             | issue.
        
               | daniel_iversen wrote:
               | Not an American but there's only very limited
               | circumstances you can travel across the border home to
               | the USA with foreign prescription drugs, right? And this
               | scenario wouldn't cover it. Unless you just meant they
               | won't get caught or maybe not fined or confiscated in
               | practice? :)
        
               | toomuchtodo wrote:
               | https://news.ycombinator.com/item?id=45638316
        
               | valicord wrote:
               | That's mainly for visitors. If you're a US resident, you
               | can't just buy medicines abroad, unless of course we are
               | talking about the "they won't get caught" scenario.
        
             | c2h5oh wrote:
             | With de minimis for US-bound packages suspended I suspect
             | way more packages are inspected than used to be.
        
               | JumpCrisscross wrote:
               | > _With de minimis for US-bound packages suspended I
               | suspect way more packages are inspected than used to be_
               | 
               | But a smaller fraction.
               | 
               | If you're paranoid, route it via the UAE. All my European
               | and Indian shippers are doing that for tariff-free
               | pricing. (Personal stuff. I'll pay a customs duty if I
               | get it, of course.)
        
           | AnimalMuppet wrote:
           | Um, what are the legality concerns? Is it illegal to bring
           | medicine for your own use over the border? If not that, then
           | what?
           | 
           | (Honest question. I don't know.)
        
             | ano-ther wrote:
             | https://www.fda.gov/industry/import-basics/personal-
             | importat...
        
             | jacobgorm wrote:
             | Just don't do it in a speed boat.
        
           | stevehawk wrote:
           | the shelf life is probably longer than that if you buy it in
           | dehydrated form and don't hydrate it (but i have no idea)
        
             | ReptileMan wrote:
             | So cocaine from the south, ozempic from the north, fetanyl
             | from the west and the meth is homegrown. So USA just need
             | some powder from europe to close the circle.
        
         | ChrisMarshallNY wrote:
         | I totally believe this happened.
         | 
         | If anyone has worked in a big, hidebound corporation, they are
         | familiar with the "That's not my job" quandary.
        
         | general1465 wrote:
         | This is impressive feat of bean counting. To save few thousand
         | dollars, they lost market of few billion dollars. Good job.
        
       | bstsb wrote:
       | looking at the filing, they had their patent deadline extended
       | due to COVID-19 eighteen times!
       | 
       | https://brevets-patents.ic.gc.ca/opic-cipo/cpd/eng/patent/26...
        
       | choffman wrote:
       | There's about to be a lot of skinny people in Canada bordering
       | states. :)
        
       | rahimnathwani wrote:
       | AIUI, because they let the patent expire, the drug was not
       | subject to price regulation by the government. So they could
       | charge whatever.
       | 
       | And during most of that time, they were still protected by 'data
       | exclusivity' which means that any generic producer could not get
       | approved without doing their own clinical trials, until 8 years
       | had passed.
       | 
       | So they gave up some period of exclusivity in return for being
       | able to charge a higher price when they still had a monopoly.
        
         | Emphere wrote:
         | Thanks, can you point to where you found this info?
        
           | rahimnathwani wrote:
           | Sorry, pieced together from different sources.
           | 
           | I am not an expert.
           | 
           | Here's one about the price control on patented drugs:
           | https://www.torys.com/our-latest-
           | thinking/publications/2024/...
        
           | malshe wrote:
           | See the comments on that article where a few people have
           | pointed this out.
        
       | TMWNN wrote:
       | Quoting myself <https://np.reddit.com/r/MapPorn/comments/1md4wde/
       | the_most_va...>:
       | 
       | >Novo Nordisk did not file for a renewal because of a mistake, or
       | someone going on vacation, or anything like that.
       | 
       | >Novo Nordisk decided that the additional years of patent
       | protection were not worth it compared to the advantage of the
       | drug no longer being under the jurisdiction of the PMPRB <https:/
       | /en.wikipedia.org/wiki/Patented_Medicine_Prices_Revie...>.
       | Whether that decision was financially correct in light of GLP-1's
       | subsequent application to weight loss, I do not know. However,
       | again, it was not a silly mistake on Novo Nordisk's part.
        
       | 0cf8612b2e1e wrote:
       | I had never considered it-what makes a drug prescription vs OTC?
       | Every substance has safety concerns(dose makes the poison), so
       | with a lot of the financial gone, will the GLPs ever not require
       | a prescription?
        
         | dlcarrier wrote:
         | In the US, prescription and OTC are theoretically completely
         | unrelated, but in practice patent holders want their drugs to
         | be prescription, where end users aren't involved in the process
         | of selecting or paying for the drug, whereas generic
         | manufacturers want the drugs to be OTC, where end users are
         | choosing the product in a competitive market.
         | 
         | See, for example, Prilosec (Omeprazole) switching from
         | prescription to OTC.
        
         | apike wrote:
         | The FDA (or equivalent in the relevant country) regulates
         | whether an approved drug requires a prescription based on the
         | safety profile. To be approved for OTC, there is a much higher
         | bar in terms of ease of misuse, side effects, and so on.
        
       | vitorgrs wrote:
       | In Brazil it will expire in July 2026. It's pretty relevant as
       | it's kinda already announced they will put the generics on the
       | public health care (SUS) for free... Which is big deal as an
       | Ozempic shot costs almost the same as the minimum wage.
       | 
       | This year they already did an analysis to include Ozempic, but it
       | was denied, probably because of the cost difference...
       | 
       | But they were trying on justice to extend the patent...
        
       | glp1guide wrote:
       | Not only that, there is a legitimate raft of companies lining up
       | to make generics.
       | 
       | There's one wrinkle though, legally importing prescription drugs
       | from Canada isn't really allowed in the US/UK AFAIK. HIMS is
       | probably feverishly figuring out how to do that right now.
       | 
       | Shameless plug:
       | 
       | https://glp1guide.substack.com/p/another-glp1-generic-launch...
       | 
       | Also somewhat separately, injectable GLP1s are about to be
       | upstaged by oral variants -- orfoglipron for Eli Lilly and the
       | Wegovy Pill for Novo.
        
         | ChrisMarshallNY wrote:
         | _> Also somewhat separately, injectable GLP1s are about to be
         | upstaged by oral variants -- orfoglipron for Eli Lilly and the
         | Wegovy Pill for Novo._
         | 
         | I believe that this gets a new patent, and will probably be a
         | _huge_ seller.
        
       | alister wrote:
       | > _Interviewer at Endpoints: You plan to potentially launch a
       | generic GLP-1 in Canada and Brazil in 2026._
       | 
       | Looking at the original interview on Endpoints, Sandoz CEO
       | Richard Saynor says this about Brazil:
       | 
       |  _In Brazil, the biggest prescribers are dentists. Everyone says,
       | "Why dentists?" They do aesthetic work, and then you have your
       | Botox, and then you want a bikini body. It's behaving like an OTC
       | consumer brand. Imagine selling this, rather than $300, at $50.
       | Anybody over the age of 40 in Brazil will probably want to be on
       | that._
       | 
       | But he doesn't explain how they got around the patents. Another
       | comment on HN says they expire in July 2026, but can anyone
       | explain why the patents expire so soon in Brazil?
        
       | pogue wrote:
       | It sounds like people will be flocking to Canada to fill their
       | ozempic prescriptions. However, the WP just posted this article
       | about how ordering rx meds from Canada has become unaffordable
       | due to tariffs.
       | 
       |  _Many seniors get cheaper medicine from Canada. That might
       | become harder_
       | https://www.washingtonpost.com/business/2025/10/18/deminimis...
       | 
       | No paywall: https://archive.ph/nT0Jl
        
       | tavavex wrote:
       | The whole story seems utterly insane to me. The fact that Novo
       | Nordisk went back to ask for a _refund_ of $250 they paid for the
       | patent in 2017 shows that there was active intent behind this,
       | this wasn 't just some internal disconnect between payment
       | systems that prevented the money from being sent to the
       | government. Who at NN thought that saving, what, ~$1000 total was
       | justified for this? I thought companies of this scale didn't even
       | think on the scale of thousands of dollars anymore.
       | 
       | Oh well, at least we in Canada get more generic drug variants.
       | Thanks!
        
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