Novo Nordisk's patent on semaglutide — the blockbuster diabetes and weight-loss drug marketed as Ozempic and Wegovy — expired in India on March 20-21, 2026, triggering one of the most crowded generic launches in Indian pharma history. Over 40 companies including Sun Pharma, Dr. Reddy's, Zydus, Lupin, Cipla and Natco Pharma launched or prepared generic versions. Natco's price starts at ₹1,290/month versus ₹8,800-16,400 for innovator drugs — a 70-90% reduction. India has approximately 101 million diabetes cases (ICMR 2023) and 254 million obese citizens. The generic versions make the cardiovascular risk-reducing drug accessible to millions who could not afford it previously.