GLP-1 Drug Impact on Employee Health Plans.
Ozempic and Mounjaro are the two main GLP-1 medications used to treat Type 2 Diabetes. Wegovy and Zepbound are the two main GLP-1 medications used to treat obesity.
GLP-1 medications account for 9% of an employer's prescription medication spend on average, yet only 1.7 percent of plan members are on GLP-1 medications.
Twelve percent of US adults have type 2 diabetes and 42 percent of US adults are obese, so if only 1.7 of plan members are on GLP-1s, then their overall prescribing is just barely getting started.
GLP-1 medications cost $9,000 to $10,000 per person per year after PBM discounts and rebates. They comprise two of the top four medications by total overall spend by employers.
Strategies to Lower Spending on GLP-1s by Employers Include:
1) Prior Authorization - HOWEVER, if an employer chooses to only cover GLP-1 medications for plan members above a certain BMI, then the pharmaceutical manufacturers will refuse to pay them rebate dollars--thus raising the overall cost of the medications.
2) Step Therapy
3) Non-Coverage
Alternatively, GLP-1 medications pose such a great financial burden to employers that they may agree to a single-payer healthcare system run by the Government as a way of addressing the problem.
Sources:
https://www.wtwco.com/en-us/insights/2024/02/glp-1-drugs-implications-for-employer-health-plans
https://blog.ifebp.org/employer-coverage-of-glp-1-drugs-on-the-rise/
https://www.cnbc.com/2024/06/18/healthy-returns-more-us-employers-covering-glp-1s-for-weight-loss.html#:~:text=Roughly%20one%2Dthird%20of%20employer,member%20companies%20or%20public%20institutions.
https://www.biopharmadive.com/news/employers-healthcare-cost-growth-2025-pharmacy-glp1s/724966/
https://www.businessgrouphealth.org/en/newsroom/news%20and%20press%20releases/press%20releases/2025%20employer%20health%20care%20strategy%20survey
https://www.biopharmadive.com/news/eli-lilly-zepbound-obesity-sales-second-quarter-guidance/723679/
https://www.goodrx.com/classes/glp-1-agonists/glp-1-drugs-comparison
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The Senate Committee on Health, Education, Labor and Pensions held a hearing on Tuesday to discuss popular drug maker Novo Nordisk lowering prices for blockbuster weight-loss drugs Ozempic and Wegovy.'
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Are you looking to buy keto gummies on eBay but not sure where to start? You’re in luck! In this buying guide, we will walk you through the process of finding and purchasing the best keto gummies on eBay. Whether you’re new to the ketogenic diet or a seasoned pro, this guide will help you make an informed decision on which keto gummies to buy.
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