How much does GLP-1 cost and how the Healthcare Spending Card can help make it more affordable

When it comes to managing diabetes or obesity, the conversation often turns to a promising class of medications known as GLP-1s. These drugs, which mimic gut hormones to regulate blood sugar and appetite, have revolutionized treatment options, offering significant benefits in weight management and diabetes control. However, the cost of GLP-1 medications can be a barrier for many, with the average costs varying between $165 to $2,000 a month. In this post, we’ll break down the costs of GLP-1s and explore how you can afford them with the help of the Healthcare Spending Card1, ensuring you get the treatment you need without breaking the bank.

Understanding GLP-1 medications

To truly appreciate the impact of GLP-1 medications, it’s important to grasp how they function, the benefits they offer, and the vital role they play in healthcare treatment. GLP-1, or glucagon-like peptide-1, medications are a class of drugs that replicate the body's natural hormones produced in the gut. These hormones, known as incretins, are released in response to food intake and help regulate blood sugar levels by stimulating insulin secretion and reducing glucagon release. By emulating these gut hormones, GLP-1 medications effectively lower blood glucose levels, proving to be highly effective in type 2 diabetes management.

GLP-1 medications also play a big role in managing your weight and appetite. They work by slowing down the rate at which food leaves your stomach, so you feel full for longer, and by reducing your desire to eat. This two-pronged approach makes GLP-1 drugs a powerful ally in a fight against diabetes and obesity. You've probably heard of injectable semaglutide, which has a strong track record for effectiveness, and now there are newer, more convenient oral forms of GLP-1 medications available, too.

Recent advancements in GLP-1 drug development have only added to their appeal. For example, the introduction of longer-acting formulations has reduced dosing frequency, making it easier for patients to stick to their treatment plan. Ongoing research has led to the development of oral GLP-1 receptor agonists, which provide a non-invasive alternative to injections. These advancements not only improve the convenience but also reduce the potential for side effects, such as nausea and gastrointestinal discomfort, which were more common with earlier formulations.

Breaking down the costs

Let's get to the nitty-gritty of GLP-1 medication costs. This is a crucial step in deciding what's best for you. Prices can vary significantly depending on the specific brand  or vendor you're considering. For example, newer medications like semaglutide and tirzepatide tend to be pricier than the older, more established options. While this cost difference can be quite significant, it's important to think about your budget and the long-term plan for your treatment. It's also worth noting that these newer medications often come with added benefits, such as more effective weight loss and blood sugar control, which might make the higher price worth it for you.

Insurance coverage is a key factor in managing the cost of GLP-1 medications. While many insurance plans do cover these drugs, the extent of coverage can vary. Some plans may cover a large portion of the cost, leaving you with a lower out-of-pocket expense, while others may cover less. It’s important to review your insurance policy and understand what is covered, including any copays or deductibles. If you find that your insurance coverage is limited, talk to your healthcare provider or pharmacist about how to manage these costs.

Generic versions of GLP-1 medications are another cost-effective option. While not all GLP-1 drugs have generic equivalents yet, those that do can offer a more affordable alternative without compromising on effectiveness. For example, the generic version of exenatide, which is available in some markets, can be significantly cheaper than its brand-name counterpart. Your healthcare provider can help you determine if a generic option is suitable for your needs and how to switch if you’re currently using a brand-name drug.

In addition to insurance and generics, prescription savings cards and coupons can provide further relief on the cost of GLP-1 medications. Many pharmaceutical companies offer savings programs that can reduce your out-of-pocket expenses. These cards and coupons are often available on the manufacturer’s website or through your healthcare provider. Taking advantage of these resources can make a significant difference, especially if you are paying a high copay or if your insurance coverage is limited.

Finally, there are mail-order pharmacies, which offer both convenience and potential savings. They often have competitive pricing and can deliver your medication right to your door, saving you time and the hassle of frequent pharmacy trips. Some mail-order services even offer discounts for buying in bulk, which can be particularly helpful for long-term treatment. By exploring these options, you can find the best way to manage the costs of GLP-1 medications while ensuring you receive the treatment you need.

Maximizing your Healthcare Spending Card

One of the most effective ways to get the most out of your healthcare dollar is to use the Healthcare Spending Card. The Card can help you save money by allowing you to use pre-tax dollars to pay for qualified medical expenses by linking your healthcare savings account to the card. Using your Healthcare Spending Card      to pay for GLP-1 medications, doctor visits and other qualified medical expenses can provide you with immediate financial relief.

Opting for generic versions of GLP-1 medications can be one of the most effective ways to save. Generic medications are often much less expensive than brand-name medications, but are just as safe and effective. By choosing generic GLP-1 medications, you can make your Healthcare Spending Card     dollars go further. Many healthcare providers and pharmacies offer both brand-name and generic medications. Ask your healthcare provider if a generic medication is available for the medication they prescribe. Over time, the difference in cost can add up, making it easier to manage your healthcare expenses without sacrificing quality.

You'll find that pairing your Healthcare Spending Card with your insurance is a smart move. Most insurance plans cover a portion of the cost of GLP-1 medications, and your Healthcare Spending Card      can often be used to pay the remaining out-of-pocket costs. This two-pronged approach can lead to significant savings. For instance, if your insurance covers 80% of the medication cost, you can use your Healthcare Spending Card to pay the remaining 20%, leaving your regular cash reserves untouched. You can even link a health savings account (HSA) or flexible spending account (FSA) to the Card, allowing you to repay with pre-tax funds. Either way, you can keep your personal funds for other important needs while ensuring you receive the care you need.

Additionally, the Healthcare Spending Card      provides flexible payment plans to help you manage larger expenses. These plans may include options like 0% financing options2, which allows you to pay for your GLP-1 medications over time without incurring interest2. Because the Healthcare Spending Card has no annual fee2, it can be there when you need it and cost you nothing when you don’t. By taking advantage of these payment options, you can manage your healthcare expenses without straining your budget. Whether you have a one-time purchase or ongoing medication costs, the flexible payment plans provided through the Healthcare Spending Card can help you pay for the care you need.

Tips for managing GLP-1 expenses

Managing the costs of GLP-1 medications doesn’t have to be overwhelming. With a few helpful tips, you can keep your expenses in check and focus on your health. One way to help reduce the financial burden is to take advantage of regular rebates and discounts. Many pharmaceutical companies offer rebate programs that can help lower the out-of-pocket cost of your medication. Signing up for these programs and staying informed about available discounts can make a big difference in your monthly expenses. Also, setting reminders to check for new offers and renewing your rebates can help you consistently save.

Leveraging your healthcare spending account(s) is another way to optimize your savings. These accounts are designed to let you use pre-tax dollars to cover qualified medical expenses, including those for GLP-1 medications. This not only helps you manage your healthcare expenses but also reduces your taxable income, leading to more savings. Keeping an eye on your HSA or FSA balance and using it wisely to pay for your GLP-1 costs is a smart move. Many healthcare providers and pharmacies have made the process of using these accounts simple and convenient, too.

Community health programs can also be a gateway to additional financial assistance or even free GLP-1 medication samples. Local health clinics, community centers, and charitable organizations frequently have the necessary resources and partnerships to help you obtain your medication at a reduced cost or for no cost at all. By engaging with these resources and participating in community health initiatives, you can find the financial and emotional backing you require to manage your health without the added burden of high expenses.

By integrating these approaches and leveraging your Healthcare Spending Card you can eliminate financial barriers to your treatment. With the Card’s unique benefits, ranging from 0% financing options2 and no annual fee2 to its seamless HSA integration, you can break the financial barriers to your GLP-1 treatment. Get the Healthcare Spending Card today.

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Erik Eaton
Senior Director, Marketing

1 Lane Health is a financial technology company, not a bank. The Healthcare Spending Card is issued by Lead Bank pursuant to a license from Visa USA Inc. Line of credit is issued by Lead Bank or LH Lending LLC NMLS #2552401, (nmlsconsumeraccess.org).

2 Lane Health does not charge interest on, or an annual fee for, the Healthcare Spending Card. “0% financing” pertains to repayment options that do not charge interest (0% interest) nor fees ($0 fees). Each Advance can be repaid in full, 4-month term or 12-month term (with a minimum $3 due each payment period). Transactions other than qualified hospital expenses (based on merchant category code) will be charged an origination fee of 5% and periodic finance fees. The location of the service provider is not determinative of whether a transaction is a qualified hospital expense. Rather, transactions made within or at a hospital (including but not limited to specialists, doctors, pharmacies, etcetera) are determined to be eligible by the associated MCC and not the location of the service provider in the hospital. New Advances, if eligible, can be repaid in full or over 4 installments with no origination or periodic finance fees. Late fees apply. You can review the fee table at https://lanehealth.com/hsc-lb-fees