Version 4
GLP-1 for Diabetes Spend Calculator
Enter your total covered lives to estimate how much your plan may be spending on GLP-1 use that isn't clinically indicated.
Adjust assumptions
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
$594,000
Members likely on a GLP-1
45
Members with non-covered indication
9
GLP-1 waste: before & after
Without Guardrails
$178,200
With Northwind Guardrails
$35,640
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.
