GLP-1 Waste Calculator

Version 4

Enter your total covered lives to estimate how much your plan may be spending on GLP-1 use that isn't clinically indicated.

Total covered lives

Annual spend per member ($)

Adjust assumptions

% removed for non-covered indication 20%

% of population that is overweight 65%

% with diabetes / non-clinical Rx spend 15%

% of those likely on a GLP-1 25%

Baseline % not clinically indicated 10%

A more overweight population drives more non-clinically-indicated GLP-1 use. The baseline rate above is scaled against a 65% national benchmark — e.g. an 80% overweight population raises the "not clinically indicated" rate to roughly 12.3%.

Total GLP-1 spend

$247,500

Members likely on a GLP-1

Members with non-covered indication

Northwind Guardrails adoption 80%

GLP-1 waste: before & after

Without Guardrails

$74,250

→

With Northwind Guardrails

$14,850

$59,400 saved · 80% less waste

Talk to Northwind about this spend

Estimates are based on aggregate industry claims data and the assumptions above. Actual savings depend on your plan's population, formulary, and utilization management. This tool does not constitute a guarantee of savings.