Positive CHMP opinion, EU decision pending

Foundayo pill

Orforglipron · GLP-1 · Eli Lilly

Foundayo is the brand name of orforglipron, a daily GLP-1 tablet from Eli Lilly. On 15 October 2026, the CHMP, the EMA’s human medicines committee, recommended approval. This is not yet final EU approval. The medicine is not yet routinely available in the Netherlands.

  • Prescription-only once available, after assessment by a doctor
  • Part of a program with a lifestyle course
Foundayo (orforglipron) tablet on a dark background
Not yet available in the Netherlands
Administration

Daily tablet

Active substance

Orforglipron

Manufacturer

Eli Lilly

Where does approval stand?

Status as of 19 October 2026. On 16 October, the EMA published the positive CHMP opinion adopted on 15 October for weight management and type 2 diabetes in adults. The European Commission decides on the marketing authorisation. A Dutch launch date, price and reimbursement have not yet been confirmed.

Read the official EMA opinion

This page is updated as soon as there is official news.

How it works

What is Foundayo and how does the pill work?

The active ingredient is orforglipron

Foundayo is the brand name of orforglipron. It activates the GLP-1 receptor, which plays a role in appetite and blood sugar regulation. Our medical information page covers the mechanism and research results in detail.

A daily tablet

Orforglipron is a small molecule rather than a peptide such as semaglutide. This allows a different tablet formulation. It remains a prescription medicine; taking a tablet still requires a medical assessment.

Alongside diet and exercise

The European recommendation concerns use alongside a healthy diet and physical activity. Any future treatment also requires support with habits and maintaining muscle mass. The pill does not replace this approach.

Daily intake

How is the Foundayo pill taken?

According to UK and US product information, Foundayo is taken daily with or without food. This differs from oral semaglutide, which must be taken on an empty stomach. For any future Dutch treatment, the final European leaflet and the doctor’s prescription will take precedence.

  1. 1

    A daily tablet

    Foreign product information describes one tablet a day. A daily routine differs from a weekly injection. This is background information, not a personal dosing schedule.

  2. 2

    With or without food

    Foreign product information specifies no food or water restrictions. The 30-minute wait required for the Wegovy pill does not apply to orforglipron in that information.

  3. 3

    Discuss other medicines

    Orforglipron can interact with other medicines, including oral contraceptives. A doctor and pharmacist must review all medication before any future treatment begins.

Why do the intake instructions differ?

The Wegovy pill contains semaglutide, a peptide that needs an absorption enhancer. Orforglipron has a different molecular structure. Different substances and formulations have different instructions. Doses and intake instructions cannot be transferred between medicines.

The final European product information has not been published as of 19 October 2026. Do not change an existing treatment yourself.

Foundayo price, reimbursement and dosing

These are separate questions. A recommendation for approval does not establish Dutch treatment costs, insurance coverage or the prescribing instructions that will apply here.

What will Foundayo cost?

A Dutch price has not been confirmed. US or UK prices are not a Dutch price list. Potential support costs are also separate from a future medication price. We therefore do not quote a monthly Foundayo price yet.

Will Foundayo be reimbursed?

As of 19 October 2026, Dutch reimbursement has not been confirmed. European authorisation and reimbursement are separate decisions. Even after authorisation, questions may remain about eligible uses and insurance conditions.

What dose will the pill have?

The EMA opinion lists six tablet strengths from 0.8 to 17.2 mg. This is not a Dutch titration schedule. The final European product information and a doctor’s assessment will determine future prescribing. Research doses are not personal dosing advice.

Lifestyle coaching at Lean Clinic
What you get

Your treatment is more than medication alone.

  • Medical intake and guidance by a Dutch doctor
  • Online lifestyle programme on food, exercise, sleep and stress
  • Tailored treatment plan with a dose that suits you
  • Discreet home delivery, chilled and delivered fast
Two different tablets

Foundayo or the Wegovy pill: practical differences

Both are daily GLP-1 tablets, but they contain different substances and have different authorisation statuses. The table covers practical differences only. Our separate comparison examines the research in more detail.

Foundayo pillWegovy pill
Active ingredientorforglipronsemaglutide
Administrationdaily tabletdaily tablet
Food and drinkwith or without food according to foreign product informationtake on an empty stomach and wait at least 30 minutes
European statuspositive CHMP opinion, Commission decision pendingEuropean marketing authorisation granted
Dutch launchno date confirmedno date confirmed

Status checked on 19 October 2026. This table does not establish differences in efficacy or safety. Percentages from separate studies are not a direct comparison.

Safety

Possible side effects of Foundayo

Tablets can also cause side effects. Research and foreign Foundayo product information mainly describe gastrointestinal symptoms. These can occur when starting treatment and increasing the dose, although experiences differ.

  • nausea
  • diarrhoea or constipation
  • vomiting
  • abdominal pain
  • heartburn or bloating

US product information also warns of serious risks, including pancreatitis, gallbladder problems and kidney injury due to dehydration. Contraindications and interactions apply. Seek medical advice immediately for severe persistent abdominal pain or serious symptoms.

Who is covered by the European Foundayo recommendation?

Intended for
  • Adults with a BMI of 30 or above
  • Adults with a BMI of at least 27 and a weight-related condition
  • Weight management alongside healthy eating and physical activity
Lean Clinic does not offer weight loss medication during or with
  • Pregnancy or breastfeeding
  • Plans to become pregnant
  • An eating disorder

These are not complete prescribing criteria. The CHMP opinion also covers inadequately controlled type 2 diabetes in adults. A doctor assesses medical history, other medicines and contraindications. Final European product information is still pending.

Who checks this page

This page was written and checked by the Lean Clinic medical team. We rely on what the medicines regulators publish and on published research. If anything changes there, we update the page.

Lean Clinic B.V. · AGB 22222155

View the sources
Compare

Still deciding between treatments?

During the online consultation the doctor advises what suits you best.

Semaglutide

Treatment with Wegovy

Dosage0.25mg – 7.2mg
Program from€ 194,99 /mo
View Wegovy
Tirzepatide

Treatment with Mounjaro

Dosage2.5mg – 15mg
Program from€ 263,54 /mo
View Mounjaro
Replaced by Wegovy

Treatment with Ozempic

Dosage0.25mg – 2mg
Program from€ 193,99 /mo
View Ozempic
FAQ

Frequently asked questions about Foundayo

Blog about medical weight loss

Read our articles about medical weight loss, lifestyle, nutrition, medication, obesity, exercise and healthy living.

Foundayo-pil (orforglipron): positief Europees advies

Foundayo-pil (orforglipron): positief Europees advies

De Foundayo-pil (orforglipron) kreeg een positief Europees advies. Wat betekent dit voor goedkeuring, prijs en beschikbaarheid in Nederland? Lees de status.

Wegovy pil goedgekeurd in Europa: de eerste GLP-1 pil voor gewichtsbeheersing

Wegovy pil goedgekeurd in Europa: de eerste GLP-1 pil voor gewichtsbeheersing

De Europese Commissie heeft de Wegovy pil goedgekeurd als eerste GLP-1 pil voor gewichtsbeheersing in de EU. Wat is er precies goedgekeurd en wanneer komt de pil naar Nederland?

Orforglipron en gewichtsverlies: de ATTAIN-studies uitgelegd

Orforglipron en gewichtsverlies: de ATTAIN-studies uitgelegd

Hoeveel gewichtsverlies geeft orforglipron? Lees wat ATTAIN-1 laat zien, waarom onderzoekspercentages verschillen en wat de resultaten wel en niet zeggen.