The Company has its headquarters in Bagsværd, Denmark, where it occupies a number of buildings.
Sales growth in 2023 has resulted in periodic supply constraints and related drug shortage notifications across a number of products and geographies.
Following higher than expected volume growth in recent years, including GLP-1-based products such as Ozempic and Wegovy, combined with the expectation of continued volume growth and capacity limitations at some manufacturing sites, the 2024 outlook also reflects expected continued periodic supply constraints and related drug shortage notifications across a number of products and geographies . Novo Nordisk is investing in internal and external capacity to increase supply both short and long term.
The supply capacity is gradually increased, including the capacity for meeting growing demand in the future for the products Activelle, Actrapid, Alhemo, Esperoct, Estrofem, Fiasp, Glucagen, Insulatard, Kliogest, Levemir, MacrilenTM, Mixtard, Norditropin, NovoEight, Novofem, NovoLog/ NovoRapid, NovoLog Mix/ NovoMix, NovoNorm, NovoSeven, NovoThirteen/ Tretten, Ozempic, Rebinyn/ Refixia, Rybelsus, Ryzodeg, Saxenda, Sogroya, Tresiba, Trisequens, Vagifem, Victoza, Wegovy, Xultophy and devices. Reference is made to the sections ‘Capital expenditures in 2023, 2022 and 2021' under Item 4 for more information about the current expansion programs. For the nature of the Company's property, plant and equipment, as of December 31, 2023 and 2022, reference is made to Note 3.2 ‘Property, plant and equipment' in our Annual Report 2023.
The major production facilities owned by the Company are located at a number of sites in Denmark, and internationally in the United States, France, China and Brazil. There are no material encumbrances on the properties; however, the facilities in Tianjin, China are constructed on land where the remaining term of the leases is 30 and 34 years.
Active pharmaceutical ingredient (API) production is located in Denmark, primarily in Kalundborg and with secondary locations in Hillerød and Gentofte, both in Denmark, as well as in New Hampshire and North Carolina, United States.
The following table sets forth certain information regarding our major production sites.
MAJOR PRODUCTION FACILITIESSize of production area(square meters)Major Production ActivitiesKalundborg, Denmark168,300Active pharmaceutical ingredients for diabetes and obesity as well as products for Diabetes careActive pharmaceutical ingredients for haemophilia.Products for Rare diseaseHillerød, Denmark156,900Durable devices and components for disposable devicesProducts for diabetes and obesityActive pharmaceutical ingredients for haemophiliaBagsværd, Denmark111,200Products for diabetes and obesityClayton, North Carolina, United States89,000Active pharmaceutical ingredients for diabetes and obesity (purification)Products for diabetes and obesityGentofte, Denmark70,800Active pharmaceutical ingredients for glucagon and growth hormone therapyProducts for growth hormone therapy, glucagon and haemophiliaTianjin, China67,200Products for diabetesProduction of durable devicesMåløv, Denmark60,900Products for hormone replacement therapyProducts for oral antidiabetic treatmentProducts for oral diabetes treatmentChartres, France58,700Products for diabetesMontes Claros, Brazil56,200Products for diabetesGel production for active pharmaceutical ingredients
In December 2021, the Company announced the investment in construction of a new purification facility and a new recovery facility as well as rebuilding of one existing fermentation facility at the production site in Kalundborg, Denmark. The investment will establish additional capacity for manufacturing active pharmaceutical ingredients. The facilities are expected to increase the production area with approximately 59,900 square meters. The facilities are expected to be operational during 2027 and the expected amount of expenditures is DKK 16,500 million with realized spend of DKK 10,801 million as of December 31, 2023. The facilities will be financed by cash flow from operating activities.
In June 2022, the Company announced its investment in an expansion of an existing facility at the production site in Hjørring, Denmark. The investment will increase the capacity for production of NovoFine Plus needles and is expected to increase the production area by 5,900 square meters. The expansion is expected to be finalized during 2025. The expected amount of expenditures is approximately DKK 560 million with realized spend of DKK 409 million as of December 31, 2023. The expansion will be financed by cash flow from operating activities.
In November 2022, the Company announced its investment in the expansion of its clinical manufacturing facilities in Bagsværd, Denmark. The investment will establish additional capacity in R&D for the manufacturing of active pharmaceutical ingredients to supply the Company's global clinical trials. The expansion is expected to increase the production area with 7,000 square meters and it is expected to be finalized in 2025. The expected amount of expenditures is DKK 7,400 million with realized spend of DKK 4,111 million as of December 31, 2023. The expansion will be financed by cash flow from operating activities.
In June 2023, the Company announced its investment in expanding an existing API production facility in Hillerød, Denmark. The facility is expected to be operational during 2028 and its production area expected to be 65,000 square meters. The expected amount of expenditures for this facility is approximately DKK 15,900 million with realized spend of DKK 2,342 million as of December 31, 2023. The facility will be financed by cash flow from operating activities.
In November 2023, the Company announced its investment in the expansion of its API production facility in Kalundborg, Denmark. The facility is expected to be fully operational during 2029 and its production area expected to be 170,000 square meters. The expected amount of expenditures for this facility is approximately DKK 42,400 million with realized spend of DKK 2,140 million as of December 31, 2023. The facility will be financed by cash flow from operating activities.
In November 2023, the Company announced the investment in an expansion of an existing facility at the production site in Chartres, France. The investment will significantly increase the capacity of the manufacturing site, adding aseptic production and finished