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Medicare coverage opens 15 million-patient opportunity

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Medicare coverage opens 15 million-patient opportunity
Novo Nordisk CEO on Medicare coverage, new obesity pill, U.S. pricing pressure

Novo Nordisk CEO Mike Doustdar on Wednesday said the company is aiming to capture around 15 million new patients, at least initially, when Medicare starts covering obesity treatments for the first time later this year.

Around 67 million Americans are covered by Medicare, but “when you take a look at specifically our products and the target group, I think around 15 million people would be a good number to target,” he told CNBC in an interview. 

Medicare is slated to start covering obesity medicines for the first time later this year under the landmark “most favored nation” drug pricing deals that Novo and its chief rival Eli Lilly struck with President Donald Trump in November.

Health experts say the long-awaited coverage could broaden the market for the medicines and spur more private insurers to cover them. Some experts estimate that 20 million to 30 million Medicare patients are suffering from obesity and related conditions.

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Doustdar said Medicare coverage, along with the launch of Novo’s new obesity pill and other factors, should help the company gradually boost prescription volumes and offset lower prices in the U.S. following that agreement with Trump. 

But he said he doesn’t expect Medicare access to obesity treatments to open up overnight. 

“Now, it would be great if we could find a way to get access very, very fast. But I think that would be a bit naive,” Doustdar said, pointing to the slow adoption seen among eligible patients with commercial insurance. 

It’s a slightly more conservative tone on the initial impact of Medicare coverage compared to Lilly, which has cited that coverage as a key tailwind to its guidance this year. Last week, Lilly said it expects Medicare coverage to come online by July. 

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Meanwhile, Doustdar said Novo is in the midst of negotiations with the government on “exactly which month, which week that is going to be opening.” 

Closing the market share gap

Novo is under pressure to claw back market share in the booming GLP-1 space from Lilly and cheaper, compounded copycats. Last week, Lilly said its share of the U.S. obesity and diabetes drug market increased to 60.5% in the fourth quarter, while Novo’s was 39.1%.

Novo has also highlighted a gap in the “preference share” for its weight loss treatment Wegovy versus Lilly’s rival injections. In the U.S., Novo estimates that between 7 and 8 patients out of 10 go to Lilly. 

When asked how Novo plans to close that gap, Doustdar said one way to do so is “to do better on the pill.” The company’s Wegovy obesity pill has a head start compared to Lilly’s upcoming oral drug, orforglipron, which is expected to win approval from the Food and Drug Administration during the second quarter. 

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Mike Doustdar, left, CEO of Novo Nordisk, and David Ricks, CEO of Eli Lilly, listen as President Donald Trump speaks in the Oval Office during an event about weight-loss drugs on Nov. 6, 2025.

Andrew Caballero-Reynolds | Afp | Getty Images

Doustdar said Novo’s pill is slightly more effective than Lilly’s based on separate clinical trials, showing 16.6% weight loss compared to 12.4% with Lilly’s oral drug. 

“If you use these two numbers, basically you have a 40% difference between the efficacy of these pills,” he said. “I think this is going to be a very main, main selling point of the pill.” 

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But Doustdar also pointed to the upcoming approval and launch of a higher dose – 7.2 milligram – of Wegovy that could help win market share from Lilly’s obesity treatment Zepbound. 

That higher dose helps patients lose around 21% of their weight, which is “very much on par” with the highest dose of Zepbound, he said. Zepbound’s higher efficacy has been a key factor in driving more patients and prescribers away from choosing Wegovy, which has shown around 15% weight loss on average in clinical trials. 

“When that comes to the market, my thought, my wish, my hope is that people will realize, OK, now we have two products with similar efficacy,” he said.

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Estate agents accuse Rightmove of charging excessive fees

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Estate agents accuse Rightmove of charging excessive fees

“Estate agents are having to employ fewer people because they can’t afford them alongside their fees to Rightmove,” said Newman, who is also a former Competition and Markets Authority (CMA) panel member. “As a result, their services can’t be as effective.”

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Leonie Baldock buys The Guildford Hotel

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Leonie Baldock buys The Guildford Hotel

The Guildford Hotel has changed hands after 20 years, purchased by Western Australian billionaire Leonie Baldock for $17.1 million.

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China buying sanctioned oil from Iran, Russia and Venezuela, report finds

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Goldman Sachs sees higher inflation due to Iran war oil price shock

A new investigation by Congress detailed how China is buying sanctioned oil from rogue regimes around the world at a discount.

The House Select Committee on China released its report on how China is evading sanctions to purchase tens of millions of barrels of oil from countries like Iran, Russia and Venezuela that are the subject of U.S. sanctions, using a “shadow fleet” of tankers to transport sanctioned oil.

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It found that sanctioned oil accounted for one-fifth of China’s total oil imports after the country became the buyer of last resort for those rogue regimes, which allowed it to stockpile a large strategic reserve of oil while buying at below market rates.

CHINA-RUSSIA’S COOPERATION HANDS THE US A ‘GRIEVOUS LOSS’ AS IRAN CONFLICT ESCALATES, EXPERT WARNS

Selling oil is a key component of the economies of Iran, Russia and Venezuela, and the report noted that energy exports yielded roughly $120 billion in revenue for Russia in 2024, about 30% of its total revenue.

Iran’s oil revenue is projected at more than $50 billion in 2025, which represents about 35% of its budget. Similarly, crude oil sales were Venezuela’s main source of hard currency.

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An oil tanker in water.

China has been a key consumer of sanctioned oil from countries like Iran, Russia and Venezuela. (Reuters)

“From this sanctioned crude, China assembled a massive strategic petroleum reserve – roughly 1.2 billion barrels by early 2026, equal to approximately 109 days of seaborne import cover – at well below market cost from the very barrels Western sanctions were designed to strand,” the committee wrote.

The select committee said China relies on foreign suppliers for about 70% of its oil, much of which is delivered by sea routes that could be blockaded by U.S. and allied naval forces during a crisis, such as one stemming from a Taiwan contingency. That vulnerability prompted Chinese leaders to declare energy security an “urgent requirement in great-power competition” and build its massive reserve.

The report detailed how China uses a shadow fleet of tankers, which are generally older tankers that operate through opaque ownership structures under foreign flags with non-Western insurance that allow them to avoid complying with Western maritime laws. 

MULTIPLE CHINESE VESSELS RETREAT AT STRAIT OF HORMUZ AFTER IRAN WARNINGS IN RARE ALLY MOVE

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An oil tanker transporting Russian oil

China has built a substantial oil reserve in part through shipments conveyed by shadow fleet tankers. (Stefan Sauer/picture alliance via Getty Images)

The panel cited data from commodity data and analytics firm Kpler, which tracks vessel movements and trade patterns using satellite imagery, that found shadow fleet and sanctioned tankers moved about 10.3 million barrels of crude oil per day last year, with about one-third going to China. 

Additionally, it moved 2.2 million barrels per day of heavy refined products like fuel oil and crude residuals, with China receiving about 10.3%; while China also received about 45.8% of the shadow fleet’s chemical and biological cargo.

“China is the buyer of oil from desperate, rogue regimes through illicit, hard-to-track channels involving shell companies, Chinese refineries and a shadow fleet of oil tankers,” said Select Committee on China Chairman John Moolenaar, R-Mich. 

“This investigation brings to light key information on how the Chinese Communist Party keeps the economies of Iran and Russia afloat while fueling its own authoritarian agenda.”

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US WEIGHS ASKING CHINA TO CURB RUSSIAN, IRANIAN OIL PURCHASES

Xi Jinping and Vladimir Putin shaking hands

Chinese President Xi Jinping and Russian President Vladimir Putin have deepened the relationship between the two countries, with the energy trade a key component of their partnership. (Contributor/Getty Images)

China’s oil sources have been under pressure after U.S. action to detain Venezuelan leader Nicolás Maduro and enforcement activities targeting Venezuelan oil, as well as the war in Iran, which has slowed the flow of oil tankers through the Strait of Hormuz. 

Before the war, China imported 3.4 million barrels per day of oil from Gulf producers via the Strait. While Iran’s shadow fleet continues to make deliveries at near pre-war levels, shipments from other countries in the region have slowed to a halt, prompting China to ban fuel exports and raise retail prices to mitigate the impact of the oil disruption.

The committee’s investigation led to several policy recommendations for lawmakers to consider as they look to counter the flow of sanctioned oil that benefits rogue regimes.

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Those suggestions include authorizing sanctions on ports, terminal operators and similar businesses that receive cargo transported by shadow fleet vessels and establishing a whistleblower reward program for reporting sanctions evasion – particularly in transshipment hubs like Singapore, Hong Kong, Malaysia and Dubai.

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They also include having financial regulators probe potential commodity market manipulation and transactions by entities involved in systematically purchasing and routing steeply discounted Russian crude by foreign refiners.

The panel also called for creating a contingency framework with major oil producers like Saudi Arabia, the UAE and Iraq to expand supply because sustained lower prices would reduce the discount available on sanctioned crude oil from Iran and Russia.

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Oil briefly falls below $100 and shares jump on Trump Iran war pledge

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Oil briefly falls below $100 and shares jump on Trump Iran war pledge

European stock markets opened higher after the US president said the conflict would “end very soon”.

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Apple retires Mac Pro after 20 years as it shifts pro desktop strategy

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Apple retires Mac Pro after 20 years as it shifts pro desktop strategy

Apple is scrapping its high-end Mac Pro desktop after two decades, signaling a shift in how the tech giant targets professional users, according to reports. 

The company has quietly removed the Mac Pro from its website, according to Bloomberg and 9to5Mac, marking the end of a product line that once served as a “halo” device for video editors and developers. The machine, known for its modularity and “cheese grater” design, carried a starting price of $6,999.

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The move underscores Apple’s pivot toward more scalable devices powered by its proprietary silicon. By streamlining its lineup, Apple is prioritizing higher-margin, integrated hardware like the Mac Studio – a compact desktop that offers comparable performance to the Mac Pro at a significantly lower entry cost.

SONY TO RAISE PLAYSTATION 5 PRICES AMID SURGE IN MEMORY CHIP COSTS

mac pro workstation

A customer looks at a Mac Pro workstation at Apple’s flagship store on Nanjing Road in Shanghai, China, June 2, 2021.  (Costfoto/Future Publishing via Getty Images)

The decision comes as Apple marks its 50th anniversary, highlighting its evolution from a niche enthusiast hardware maker into a global company built on mass-market, tightly integrated ecosystems.

People shop for Apple iPhones in a store.

Apple employees help customers at the Fifth Avenue Apple Store on new product launch day on Sept. 19, 2025 in New York City. (Michael M. Santiago/Getty Images)

APPLE CO-FOUNDER STEVE WOZNIAK SAYS HE’S ‘NOT A FAN’ OF AI

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Apple has been selling through remaining inventory in retail stores. The company confirmed to 9to5Mac that it has no plans for future updates to the Mac Pro line, effectively ending the era of the internally expandable Apple desktop.

Apple's Mac Pro on display.

Apple’s new Mac Pro sits on display in the showroom during Apple’s Worldwide Developer Conference (WWDC) in San Jose, California on June 3, 2019. (Brittany Hosea-Small /AFP via Getty Images)

APPLE UNVEILS LOWER COST IPHONE 17E, RAISES PRICES ON MACBOOKS

The shift reflects Apple’s broader strategy to consolidate its desktop lineup around fewer, more scalable products aligned with its in-house chip roadmap.

Apple shares are up fractionally in afternoon trade and are down about 6.2% year to date.

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Ticker Security Last Change Change %
AAPL APPLE INC. 255.27 +1.48 +0.58%

FOX Business has reached out to Apple for further comment.

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New York Auto Show reveals gap between EV ambitions and what buyers want

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New York Auto Show reveals gap between EV ambitions and what buyers want

A shift in the auto market is becoming harder to ignore as consumer demand tilts back toward larger, gas-powered vehicles, even as electric vehicles struggle to maintain momentum.

STELLANTIS TAKES MASSIVE $26B HIT AFTER MOVING AWAY FROM EVS

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FOX Business correspondent Jeff Flock joined FOX Business’ Stuart Varney on “Varney & Co.” to report from the New York Auto Show, where automakers are leaning into SUVs and trucks amid changing buyer preferences.

Recent sales data underscores that pivot. Midsize SUVs and trucks are seeing notable gains, while smaller cars and electric vehicles are losing ground, highlighting a widening gap between industry ambitions and what consumers are actually buying.

According to Cox Automotive and Kelley Blue Book, midsize SUV sales are up 15%, midsize truck sales are up 14%, while compact car sales are down 8% and EVs are down 26% in February compared to the same time last year. EV momentum has become increasingly uneven. Electric vehicles reached 10.5% of U.S. new-vehicle sales in the third quarter of 2025 but fell to 5.8% in the fourth quarter as incentives faded, highlighting a sharp pullback after earlier gains.

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HONDA CANCELS 3 PLANNED EV MODELS FOR US

Nissan Americas Chairman Christian Meunier pointed to another pressure shaping the market: tariffs. Automakers and suppliers have absorbed billions of dollars in added costs, limiting their ability to pass those expenses on to buyers.

Inside of a Nissan Assembly Plant

A vehicle frame moves down the assembly line at the Nissan Motor Co. manufacturing facility in Tennessee. (Luke Sharrett/Bloomberg / Getty Images)

“It’s a lot of money, but it’s a lot less than the exposure we had a year ago when it was implemented,” Meunier said.

AMERICANS ARE PUMPING THE BRAKES ON ELECTRIC VEHICLE ADOPTION: ‘AFFORDABILITY IS A BIG ISSUE’

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He added that the company has worked to reduce that burden while increasing domestic production.

“At the very beginning, we had an exposure of $4 billion. We took it down to $1.5 billion in 25, and we’re going to get it down to zero. That’s our mission to build as many cars in the U.S. as we can,” Meunier said.

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India’s IndiGo Appoints Head of IATA as New CEO

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India’s IndiGo Appoints Head of IATA as New CEO

IndiGo, India’s largest airline by fleet size, has named the head of the International Air Transport Association as its new chief executive, as it emerges from a turbulent period of flight disruptions that shaved billions off its market value.

The board of IndiGo, which trades as InterGlobe Aviation 539448 6.01%increase; green up pointing triangle, said William Walsh is set to come on board as CEO by Aug. 3 after his tenure as director-general of the aviation industry body comes to an end.

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A Rough March For Gold As The Leading Precious Metal Searches For A Bottom (NYSEARCA:GLD)

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What’s Driving The Gold Price? ... And Other Important Questions

This article was written by

Andrew Hecht is a 35-year Wall Street veteran covering commodities and precious metals.
He runs the investing group The Hecht Commodity Report, one of the most comprehensive commodities services available. It covers the market movements of 20 different commodities and provides bullish, bearish and neutral calls; directional trading recommendations, and actionable ideas for traders. Learn more.

Analyst’s Disclosure: I/we have no stock, option or similar derivative position in any of the companies mentioned, and no plans to initiate any such positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.

The author always has positions in commodities markets in futures, options, ETF/ETN products, and commodity equities. These long and short positions tend to change on an intraday basis.

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Seeking Alpha’s Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.

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Minister made ‘capricious’ demersal ban for political reasons, fishers say in court

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Minister made ‘capricious’ demersal ban for political reasons, fishers say in court

Sea Harvest has accused Fisheries Minister Jackie Jarvis of giving in to political pressure over the demersal fish ban, during a trial held at the state’s highest court.

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JPMorgan to Hire 1,000 Bankers, Boost Lending in Small Business Push

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JPMorgan to Hire 1,000 Bankers, Boost Lending in Small Business Push

JPMorgan to Hire 1,000 Bankers, Boost Lending in Small Business Push

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