GLP-1 Treatment Monthly Budget Forecaster

Estimate your true GLP-1 therapy out-of-pocket cost once insurance reimbursements, copay assistance, clinic memberships, and supply charges are factored in so you can set a sustainable monthly budget.

Enter the pharmacy list price before insurance or assistance is applied.
Use the percentage your insurer pays after deductibles and coinsurance are met.
Input the monthly manufacturer assistance amount you expect to receive.
Include prescription monitoring, coaching, or telehealth subscription fees.
Defaults to $0 if supplies are bundled—use it for needles, alcohol swabs, sharps disposal, or shipping.

Healthcare costs vary by insurer, pharmacy, and treatment plan. Use this calculator for planning purposes only and confirm exact pricing with your care team.

Examples

  • List $1,350, coverage 70%, copay $150, clinic $60 ⇒ Insurance covering 70.00% pays $945.00, the copay card applies $150.00, and $255.00 remains for the drug. Adding $60.00 in clinic fees produces a $315.00 monthly budget while insurers contribute $945.00 and assistance covers $150.00.
  • List $980, coverage 0%, copay $300, clinic $45, supplies $25 ⇒ With no insurance coverage, the copay card applies $300.00, leaving $680.00 for medication. Adding $45.00 in clinic fees and $25.00 in supplies brings the monthly budget to $750.00 while $300.00 of manufacturer support is applied.

FAQ

How can I include a deductible or out-of-pocket maximum?

Divide whatever deductible or out-of-pocket maximum remains by the months you expect to meet it and add that amount to the clinical fees field—once satisfied, remove it to see the lower ongoing cost.

What if my copay card has a monthly maximum?

Enter only the monthly credit you expect to receive. If the programme caps support mid-year, reduce the value accordingly to project the higher out-of-pocket cost.

Can this model medication holidays?

Yes. Set the list price or clinic fees to $0 for holiday months and compare the lower budget with continuous therapy to understand savings.

Additional Information

  • Coverage percentage should reflect the post-deductible coinsurance split for your plan tier so insurer and patient shares add up.
  • Copay assistance is capped at the lesser of the remaining balance or the programme maximum; unused value is flagged in the result.
  • Supply costs let you budget for pen needles, alcohol swabs, sharps disposal, or cold-chain shipping that may not be covered.

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