The project aims to investigate the evolving distribution dynamics of Ozempic, a glucagon-like peptide-1 (GLP-1) receptor agonist. This includes a detailed analysis of the systemic changes highlighted on the system map, particularly the shift towards weight loss patients and away from diabetic patients. The scope extends to identifying key stakeholders in the supply chain and analyzing their roles, thereby understanding how this shift has created a conundrum within the distribution network. Additionally, the investigation encompasses quality and consistency concerns, focusing on the involvement of compound pharmacies outside regulated environments in Ozempic distribution. Moreover, the scope includes an analysis of the current US patent system's influence on Ozempic pricing, specifically on Novo Nordisk's control, and exploring concerns related to affordability and equity in healthcare, especially their potential disproportionate impact on vulnerable populations.