Pricing tool

Cash-pay vs insurance

12-month projected total under three paths — cash, manufacturer savings card, expected insurance after weighted PA approval. Helps decide whether to push insurance or skip the paperwork.

Drug

Insurance copay (if PA approves)I plan to request prior authorization

PA approval likelihood

12-month projected total

Cash pay
$14,388
Manufacturer savings card
$5,988
Commercially insured patients; income-tested for some programs.
Expected with PA
$8,183
Weighted average — 45% approval × $600 insured + 55% denial × $14,388 cash.

Approximations only — actual costs depend on your plan, formulary tier, and pharmacy. Use /tools/glp1-savings-calculator for provider-level cost projection.

Pricing tool

Cash-pay vs insurance

12-month projected total under three paths — cash, manufacturer savings card, expected insurance after weighted PA approval. Helps decide whether to push insurance or skip the paperwork.

Drug

Insurance copay (if PA approves)I plan to request prior authorization

PA approval likelihood

12-month projected total

Cash pay
$14,388
Manufacturer savings card
$5,988
Commercially insured patients; income-tested for some programs.
Expected with PA
$8,183
Weighted average — 45% approval × $600 insured + 55% denial × $14,388 cash.

Approximations only — actual costs depend on your plan, formulary tier, and pharmacy. Use /tools/glp1-savings-calculator for provider-level cost projection.