Novo Nordisk Lawsuit 2026, 3,191 Ozempic Cases Pending, No Settlement Yet—Bellwether Trials Start Soon, Potential $2 Billion Liability
Novo Nordisk faces 3,191 active lawsuits as of February 2026 in federal multidistrict litigation over Ozempic, Wegovy, and Rybelsus causing severe side effects including gastroparesis, vision loss (NAION), and bowel injuries. No settlement exists yet, but bellwether trials expected to begin in early 2026 could determine compensation for thousands of injured patients, with legal analysts projecting total liability exceeding $2 billion.
What is the Novo Nordisk Lawsuit About?
The Novo Nordisk litigation involves mass tort claims against the Danish pharmaceutical manufacturer over its GLP-1 receptor agonist drugs Ozempic (semaglutide for diabetes), Wegovy (semaglutide for weight loss), and Rybelsus (oral semaglutide). According to court documents in MDL No. 3094, plaintiffs allege Novo Nordisk failed to adequately warn patients and healthcare providers about severe complications associated with these medications.
The most common injuries claimed include gastroparesis (stomach paralysis), nonarteritic anterior ischemic optic neuropathy (NAION causing permanent vision loss or blindness), bowel obstruction and ileus, cyclic vomiting syndrome, gallbladder disease, necrotizing pancreatitis, pulmonary embolisms, and deep vein thrombosis. Some patients have died from complications.
Plaintiffs argue Novo Nordisk aggressively marketed Ozempic off-label for weight loss despite FDA approval only for type 2 diabetes management. The company allegedly prioritized profits over patient safety by downplaying risks that emerged during clinical trials and post-market surveillance.
Current Litigation Status as of February 2026
All Ozempic, Wegovy, and Rybelsus lawsuits are consolidated in federal multidistrict litigation (MDL No. 3094) in the Eastern District of Pennsylvania under Judge Karen Spencer Marston. As of February 2026, exactly 3,191 cases are pending according to court filings.
The litigation remains in the discovery phase, with bellwether trial selection expected for early 2026. No settlement has been reached. Legal analysts project total liability could exceed $2 billion based on the number of pending cases and severity of injuries.
Judge Marston issued a critical ruling on August 15, 2025 requiring plaintiffs claiming gastroparesis to provide properly performed gastric emptying studies (scintigraphy, breath test, or WMC) to prove their diagnosis. This ruling sets a higher evidentiary bar than plaintiffs’ attorneys had hoped for but provides clear expectations for pursuing claims.
Who is Eligible to File a Novo Nordisk Lawsuit?
You may have valid claims against Novo Nordisk if you took Ozempic, Wegovy, or Rybelsus and developed qualifying serious side effects. Eligibility typically requires five criteria.
First, you must have taken one of Novo Nordisk’s GLP-1 medications—Ozempic, Wegovy, Rybelsus, or sometimes Saxenda. Both FDA-approved use for diabetes and off-label use for weight loss qualify.
Second, you must have developed serious health complications linked to these medications. The strongest cases involve gastroparesis requiring hospitalization or feeding tubes, NAION causing permanent vision loss or blindness, bowel obstruction or ileus requiring surgery, severe gallbladder disease requiring removal, or necrotizing pancreatitis.
Third, medical documentation matters significantly. You need records proving your diagnosis and treatment from qualified healthcare providers. For gastroparesis claims specifically, Judge Marston’s August 2025 ruling requires gastric emptying test results.
Fourth, you must demonstrate financial losses including medical expenses, lost wages, reduced earning capacity, or other damages resulting from your injuries.
Fifth, timing requirements apply. Statutes of limitations vary by jurisdiction but typically range from one to six years from when the injury was discovered, not when you first took the medication.

How to Join the Novo Nordisk MDL
Unlike class action lawsuits where you simply file a claim form, the Ozempic multidistrict litigation requires filing an individual lawsuit. The 1,400+ Ozempic Victims File Lawsuits Over Stomach Paralysis, $700K Settlements Expected In Federal Court article explains the MDL structure in detail.
Start by consulting with pharmaceutical injury attorneys experienced in mass tort litigation. Many law firms offer free case evaluations and work on contingency fees, meaning you pay nothing unless you win compensation.
Your attorney will gather medical records documenting your diagnosis and treatment, prescription records showing when you took Novo Nordisk drugs, employment records demonstrating lost wages if applicable, and evidence of other damages.
Once your case is prepared, your lawyer files a complaint in federal court. The case is then transferred to the Eastern District of Pennsylvania and consolidated with other Ozempic lawsuits under MDL No. 3094.
Participation in the MDL allows your case to benefit from coordinated discovery while preserving your right to individual compensation based on your specific injuries and damages.
Potential Compensation and Settlement Timeline
No settlement currently exists, so compensation amounts remain speculative. However, the Ozempic Lawsuit Update, Who Qualifies, Settlement Amounts, And How To Join The MDL Deadlines & Settlement Estimates provides analysis based on comparable pharmaceutical litigation.
Legal experts estimate severe gastroparesis cases could settle for $400,000 to $700,000 based on injury severity, medical expenses, and impact on quality of life. NAION cases causing permanent blindness may command higher settlements due to the life-altering nature of vision loss.
Individual settlement amounts vary dramatically. Factors include the severity of complications, extent of medical treatment required, degree of permanent disability, lost wages and reduced earning capacity, documented pain and suffering, and strength of medical evidence linking injuries to Novo Nordisk drugs.
Bellwether trial outcomes in early 2026 will heavily influence settlement negotiations. If plaintiffs win substantial verdicts, pressure increases on Novo Nordisk to settle remaining cases. Defense victories embolden the company to fight more claims.
Settlement timing remains uncertain. Complex pharmaceutical litigation typically takes three to five years from MDL formation to global settlement. Given that the Ozempic MDL was established in February 2024, settlement discussions likely won’t finalize until 2026-2027 at the earliest.
Common Mistakes That Hurt Novo Nordisk Claims
Missing the statute of limitations destroys your case. Track when you were diagnosed with complications, not when you first took the medication. Consult attorneys immediately—waiting eliminates legal options.
Inadequate medical documentation weakens claims significantly. Judge Marston’s August 2025 ruling specifically requires gastric emptying test results for gastroparesis claims. Without proper diagnostic testing, your case may be dismissed regardless of symptoms.
Failing to preserve evidence causes problems. Keep prescription bottles, pharmacy records, medical imaging, test results, and hospital records. Document your symptoms in writing while memories remain fresh.
Accepting vague causation claims undermines cases. Your medical records should explicitly link your condition to Novo Nordisk medications. General statements like “possible medication side effect” don’t establish causation as strongly as specific documentation.
What to Do If You Experienced Ozempic Side Effects
Stop taking the medication and consult your healthcare provider immediately if you experience severe symptoms. Your health comes first—switching medications may prevent further damage.
Document everything. Write down symptom dates, severity, and how they affect daily life. Photograph visible injuries or conditions. Save voicemails, texts, or emails discussing your health issues.
Request complete medical records from all healthcare providers who treated your Ozempic-related complications. You’ll need these records to prove your case.
Contact pharmaceutical injury attorneys specializing in mass tort litigation. Many firms handling Ozempic cases offer free consultations and can evaluate whether you have valid claims.
Similar to the Vioxx Lawsuit Scandal Merck Paid $4.85 Billion After Hiding Heart Attack Risks From Millions, pharmaceutical companies face massive liability when drugs cause widespread serious injuries despite early warnings.
FAQs
What is the Novo Nordisk lawsuit about?
The lawsuit alleges Novo Nordisk failed to adequately warn patients about severe side effects of Ozempic, Wegovy, and Rybelsus including gastroparesis, permanent vision loss (NAION), bowel injuries, and other life-threatening complications. As of February 2026, 3,191 cases are pending in federal court.
Is there a Novo Nordisk settlement yet?
No, there is no Novo Nordisk settlement as of February 2026. The litigation is in discovery phase with bellwether trials expected to begin in early 2026. Settlement negotiations typically don’t finalize until after trial outcomes demonstrate case values.
How do I file a claim in the Novo Nordisk lawsuit?
You must file an individual lawsuit through an attorney experienced in pharmaceutical mass torts. Unlike class actions, the Ozempic MDL requires separate lawsuits that are then consolidated for pretrial proceedings while preserving individual compensation rights.
What compensation is available in Novo Nordisk lawsuits?
Legal experts estimate severe gastroparesis cases could reach $400,000-$700,000 based on injury severity. NAION cases causing permanent blindness may command higher settlements. Actual amounts depend on medical expenses, lost wages, permanent disability, and trial outcomes.
When will Novo Nordisk lawsuits settle?
Bellwether trials are expected in early 2026. Settlement negotiations typically take 1-2 years after initial trial outcomes. Given the MDL’s February 2024 formation, global settlement likely won’t finalize until late 2026 or 2027.
What is the deadline to file a Novo Nordisk lawsuit?
Statutes of limitations vary by state but typically range from 1-6 years from when you discovered the injury. The clock starts when you were diagnosed with complications, not when you first took the medication. Consult attorneys immediately.
What documentation do I need for an Ozempic lawsuit?
You need medical records proving your diagnosis (including gastric emptying test results for gastroparesis claims per Judge Marston’s August 2025 ruling), prescription records, employment records showing lost wages, and evidence documenting all damages from your injuries.
Last Updated: February 10, 2026
Disclaimer: This article provides general information about Novo Nordisk litigation and is not legal advice. Consult qualified attorneys for guidance specific to your situation.
Protect your rights. If you experienced severe side effects from Ozempic, Wegovy, or Rybelsus, consult pharmaceutical injury attorneys immediately. Statutes of limitations could bar your claims.
Stay informed, stay protected. — AllAboutLawyer.com
About the Author

Sarah Klein, JD, is a licensed attorney and legal content strategist with over 12 years of experience across civil, criminal, family, and regulatory law. At All About Lawyer, she covers a wide range of legal topics — from high-profile lawsuits and courtroom stories to state traffic laws and everyday legal questions — all with a focus on accuracy, clarity, and public understanding.
Her writing blends real legal insight with plain-English explanations, helping readers stay informed and legally aware.
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