They will find some way to prevent people from acquiring it and promote some other in-patent drug.

Lots of ways around jurisdictional regs. Consider how many people live near a national border.

https://www.usnews.com/news/best-states/articles/2018-11-01/...

Also, I expect CRISPR or gene therapy to be the long game wrt this.

It is not possible to stop people from getting mail order pills from China. Especially with the abortion restrictions the market already is pretty large and it will be easy for them to throw these drugs in too.

We used to believe it was not possible to stop people from getting their funny movie clips from China.

The solution to that was a $10 per month subscription via Netflix and clips for free on YouTube. Meanwhile Ozempic is around $1,000 for a month's supply. That is a margin on par with illegal hard drugs, which already have a smuggling supply chain from China to North America (eg. Fentanyl and variants).

A lot of clinics are administering the generic form and it is still very expensive.

If a drug is under a patent, the generic form still pays royalties to the patent holder, so of course it's still expensive.

not entirely true. semaglutide is a great example. the FDA allows compounding pharmacies to make semaglutide because wegovy/ozempic are sold out and therefore have limited availability. compounding pharmacies are allowed to sell their own royalty-free in this situation! wellsrx does just this (probably with chinese sourced semaglutide)