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Costco calls the shots
To:Brew Readers
Healthcare Brew // Morning Brew // Update
Novo Nordisk’s GLP-1s will be available at Costco stores at a discounted price.

Hey there. Feeling like a winner today? So are nine drugmakers that have been chosen by FDA Commissioner Marty Makary to win his National Priority Vouchers. This means selected drugs from these winning pharma companies will only be subjected to as short as one month of review time rather than the usual 10–12 months. Some companies just walk in the light, ya know?

In today’s edition:

Costco joins the GLP-1 game

Cut funds = cut workforces

Overheard at HLTH

—Cassie McGrath, Courtney Vinopal

GLP-1S

Shoppers exiting a Costco

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Wholesale giant Costco entered the GLP-1 chat earlier this month when it announced it would sell Danish biotech Novo Nordisk’s weight loss medication through its pharmacies.

As of Oct. 3, Costco will offer Wegovy and Ozempic for $499 per month, a discount off list prices of $1,349.02 and $997.58, respectively, for patients paying out of pocket. The wholesaler’s announcement is the latest partnership in Novo Nordisk’s strategy to offer more affordable options for its diabetes and weight loss medications.

Pankit Bhalodia, partner at consultancy West Monroe, told Healthcare Brew he’s “not super surprised” Costco is selling discounted GLP-1s “given the sheer demand” of the medication and the fact that direct-to-consumer (DTC) offerings are becoming more common in biotech.

For one, Novo Nordisk already offers Wegovy and Ozempic through its own DTC site, NovoCare Pharmacy, also for $499 a month. It offered that price through partnerships with other big pharmacies like Walmart and its wholesaler Sam’s Club as well as CVS and drug discount company GoodRx.

But experts say it’s unlikely to shake things up too much.—CM

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STAFFING

UCSF Medical Center

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President Trump’s One Big Beautiful Bill Act (OBBBA) will pull back federal funding from health and science-related initiatives and is challenging HR leaders in the healthcare sector to consider how such decisions will affect their budgets, and in turn, in their workforces.

Changes to Medicare and Medicaid that are set to take effect in January of 2026 have already triggered layoffs at health systems like Providence, Adventist Health, and Children’s Hospital Los Angeles.

Medicaid is the most common form of health coverage in the US after employer-sponsored insurance, and hospitals are set to lose a significant source of revenue should patients lose coverage due to provisions included in the OBBBA. The roughly $900 billion cut to the federal health insurance program included in the bill could result in annual job losses of more than 300,000 by 2034, according to an analysis published in JAMA Health.

Keep reading on HR Brew.—CV

HLTH

HLTH 2025 officially comes to an end today. Before you get too sad, don’t worry—we have a rundown of what we overheard at the conference this year.

  • Some of the biggest speakers took the stage on Sunday and Monday. While actor Rob Lowe talked about dieting, billionaire Mark Cuban said his discount drug company Cost Plus Drugs will partner with TrumpRx while he also called out high drug prices.
  • MedTech GE Healthcare announced a new partnership with Durham, North Carolina-based Duke Health and Honolulu-based Queen’s Health Systems to create AI software for hospital operation efficiencies.
  • Mental health therapists from Oakland, California-based Kaiser Permanente held a protest on Tuesday as its CEO Greg Adams spoke at the conference. This comes after 31,000 Kaiser workers held a five-day strike over AI policies and a new health plan offering with Renown Health.
  • Wearable company Oura launched new features for its ring technology at HLTH. The wearables can now track blood pressure and cumulative stress “by analyzing activity, sleep, readiness, and recovery balance,” according to a release. The company is also making updates to its app.
  • Pittsburgh, Pennsylvania-based nonprofit health plan Highmark Health announced a new partnership with weight loss telehealth company Noom on Oct. 20 to give its members easier access to weight management.

Quote of note: “I just don’t fundamentally believe that our companies that employ us should have anything to do with our healthcare. I think it’s a relic of post-World War II that has now been codified in law.”—Andy Schoonover, CEO of alternative health plan CrowdHealth, from the HLTH panel “GoFund Health: The New Ways to Pay,” moderated by yours truly

See you Friday for our final recap!—CM

VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment.

Francis Scialabba

Today’s top healthcare reads.

Stat: 4 in 10. That’s how many people in the US say they are “extremely” or “very” concerned they may not be able to pay for their healthcare, access care, or stay insured, according to a new AP-NORC poll. (AP)

Quote: “The disruption of funding itself doesn’t disrupt the obligation to provide the care. A change to the rules around Medicare and Medicaid funding would only mean that the funds would need to come from a new source, not that it would be illegal to provide that care.”—Monica Allard, staff attorney at the ACLU of Vermont, on a proposal from CMS to withhold federal Medicaid funds used for gender-affirming care (VTDigger)

Read: Why some say ICE is hiring more healthcare workers. (Politico)

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