NEW YORK, June 11 (Reuters) - Some employers are planning to
drop coverage of GLP-1 drugs for weight loss next year as more
people take the medications, counteracting some savings from
lower prices for Novo Nordisk's Wegovy and Eli
Lilly's ( LLY ) Zepbound and Foundayo.
About 10% of employers who now cover GLP-1 drugs for
weight-loss said they planned to drop the drugs in 2027,
according to the Business Group on Health, a policy research
group for large employers.
A second survey by benefits consultancy Mercer said 5% of
large employers -- which it defines as employing over 500 people
-- plan to drop coverage of the drugs in 2027.
Mercer said 44% of companies with more than 500 employees
cover the drugs for obesity. Data from the Business Group on
Health show 67% of large employers cover GLP-1s in 2026.
Health insurer Cigna ( CI ) ceased coverage of the
weight-loss treatments for its own employees effective July,
Reuters first reported this month, saying they could buy the
medicines elsewhere.
Newer pills for weight loss, as well as injections from Novo
and Lilly, are available through the drugmakers' own websites at
discounted prices, driven by a deal with the Trump
administration for its site TrumpRx.gov.
In January, Novo launched the Wegovy pill and Lilly began
selling its Foundayo pill in April, both of which start at about
$149 per month.
Lauren Remspecher, a director at Purchaser Business Group on
Health, said many employers are still concerned they are not
seeing the same savings in their deals with pharmacy benefit
managers -- industry middlemen who negotiate prices for large
companies and health plans -- as customers who purchase directly
and pay cash.
"One advantage of having the direct-to-consumer and some of
the government-negotiated pricing more transparent is that now
employers can see how much more they're paying and where there
is an opportunity for improvement," said Remspecher.
INCREASED DEMAND WITH THE PILLS
Demand for the drugs has increased this year due to the oral
options, attracting people who have never before tried GLP-1s,
which has kept employer costs high, according to five industry
experts.
Several industry experts said employers are seeing people
stay on GLP-1s long term and a larger pool of people eligible
for the medications, when compared to other treatments.
Foundayo and Wegovy have been shown to reduce weight by 11%
and 14%, respectively, less than with the injected drugs but
preferable for patients who fear needles.
"Even though we have seen the unit cost come down, the
patient population keeps growing," said Louis Zollo, a pharmacy
practice leader at healthcare consultancy Segal.
Benefits consultancy Aon has observed injectable customers
shifting to oral versions, as well as new GLP-1 patients
choosing the pills. Aon said it too expects GLP-1 coverage to
decrease next year.
Dan Mendelson, CEO of Morgan Health, a healthcare unit owned
by JPMorgan, said the pills are set to push the cost of the
individual treatments down this year.
"But every year there's going to be market growth," he said.
"There's going to be more people taking these drugs, so on
aggregate this still represents a major cost driver for
employers."