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Zepbound vial
Zepbound vials (Eli Lilly)

Eli Lilly’s telehealth deals require platforms to stop compounding GLP-1s, CFO says

Telehealth companies have to stop compounding GLP-1s if they want access to branded Zepbound, Lilly’s CFO said on Tuesday.

Eli Lilly’s deals with telehealth companies to sell cheaper versions of its popular weight-loss drug Zepbound come with a caveat: the telehealth companies cannot sell compounded versions of its GLP-1 drug, nor its competitors’.

Lucas Montarce, Lilly’s chief financial officer, on Tuesday shed some light on some of the deals the drugmaker has cut with telehealth providers that have become an important pillar of the weight-loss market. Many of the telehealth companies began selling copycat versions of Zepbound, as well as Novo Nordisk’s weight-loss drug Wegovy, while they were in shortage.

Now that the shortage of those drugs is over, many telehealth platforms have sought to keep selling compounded versions of the weight-loss drugs made by Lilly and Novo, nibbling at their market share and irritating the drugmakers. Lilly has reached deals with some of those providers to sell branded Zepbound, but few details were known before Tuesday.

Ro zepbound vial
(A screenshot from Ro’s website.)

“We are enforcing in those agreements that, as long as the product is out of the shortage list, that those telehealth services are not compounding either tirzepatide or semaglutide, right?” Montarce said at the Goldman Sachs Global Healthcare Conference on Tuesday, referring to the two active ingredients in Zepbound and Wegovy.

Telehealth company Ro does not promote compounded GLP-1s on its website, though it is presented as an option after filling out the survey. Noom lists compounded GLP-1s as an offering on its site. Both have partnerships with Lilly. A Lilly spokesperson didn’t immediately respond to a request for comment.

Other telehealth companies, like Hims & Hers, have gone all in on compounding, which they say offers “personalized” treatments for their patients. Selling branded, compounded drugs is also more profitable for them than flipping generics or brand-name drugs. Lilly and Novo have sued some of the telehealth providers selling compounded versions of their drugs.

The drugmakers have also lowered their prices in an effort to capture customers previously on compounded prescriptions. Both Lilly and Novo both introduced special rates for uninsured patients starting at about $400 a month, which is higher than the roughly $200 compounders charge, but significantly lower than the upward of $1,000 those companies charge insured patients.

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JetBlue is raising its bag fees as fuel costs squeeze airlines

JetBlue will reportedly hike its bag fees, as the cost of jet fuel continues to climb amid the war in Iran. It’s the latest example of carriers finding ways to push rising costs onto travelers.

Last week, United Airlines CEO Scott Kirby said that if fuel prices remain elevated, fares would need to rise another 20% for his airline to break even this year.

As CNBC reported, when one airline raises fees, others tend to follow.

Earlier this month, JetBlue hiked its first-quarter outlook for operating revenue per seat mile to between 5% and 7%, saying that strong Q1 demand helped “partially offset additional expenses realized from operational disruptions and rising fuel costs.” Now, the carrier appears to be making moves to further boost revenue to offset those costs.

Earlier on Monday, JetBlue rival Alaska Air lowered its Q1 profit forecast. The refining margins for the carrier’s cheapest fuel option — sourced from Singapore and representing about 20% of Alaska’s overall supply — have spiked 400% since February.

JetBlue did not immediately respond to a request for comment.

As CNBC reported, when one airline raises fees, others tend to follow.

Earlier this month, JetBlue hiked its first-quarter outlook for operating revenue per seat mile to between 5% and 7%, saying that strong Q1 demand helped “partially offset additional expenses realized from operational disruptions and rising fuel costs.” Now, the carrier appears to be making moves to further boost revenue to offset those costs.

Earlier on Monday, JetBlue rival Alaska Air lowered its Q1 profit forecast. The refining margins for the carrier’s cheapest fuel option — sourced from Singapore and representing about 20% of Alaska’s overall supply — have spiked 400% since February.

JetBlue did not immediately respond to a request for comment.

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