Trends in GLP-1 Utilization for Diabetes and Obesity in the US: A Retrospective Analysis (2017-2023)
Author(s)
Mike Sicilia, BS, Wouter van der Pluijm, MPH;
Forian, Newtown, PA, USA
Forian, Newtown, PA, USA
OBJECTIVES: To understand longitudinal Glucagon-Like Peptide-1 (GLP-1) utilization in the United States (US) before and after 2021, when GLP-1 treatment was approved for obesity.
METHODS: This retrospective cohort study utilized US claims data from Forian’s Data Product, CHRONOSTM, a nationally representative, integrated open and closed claims hybrid ecosystem, from 2017 to 2023 were used in this retrospective cohort study. Adult patients who were treated with a GLP-1 were included in the analysis. Volumes were aggregated quarterly and annually and normalized to the dataset population, to observe utilization trends and measure growth.
RESULTS: Compared to the first quarter of 2021, which includes January through March, GLP-1s indicated for diabetes saw 2.15x and 2.31x increases in patient and prescription volumes, respectively, in the last quarter of 2023, including October through December. Overall, the GLP-1 patient volume in the US grew by 3.06x from the first quarter of 2021 to the last quarter of 2023, while the overall prescription volume grew by 3.36x.
CONCLUSIONS: Utilization of GLP-1s in the US has increased dramatically since 2021, likely driven by the expansion of treatment to include obese patients. Additional research will assess and compare longitudinal differences in specific GLP-1s and age- and gender-specific rates in the US.
METHODS: This retrospective cohort study utilized US claims data from Forian’s Data Product, CHRONOSTM, a nationally representative, integrated open and closed claims hybrid ecosystem, from 2017 to 2023 were used in this retrospective cohort study. Adult patients who were treated with a GLP-1 were included in the analysis. Volumes were aggregated quarterly and annually and normalized to the dataset population, to observe utilization trends and measure growth.
RESULTS: Compared to the first quarter of 2021, which includes January through March, GLP-1s indicated for diabetes saw 2.15x and 2.31x increases in patient and prescription volumes, respectively, in the last quarter of 2023, including October through December. Overall, the GLP-1 patient volume in the US grew by 3.06x from the first quarter of 2021 to the last quarter of 2023, while the overall prescription volume grew by 3.36x.
CONCLUSIONS: Utilization of GLP-1s in the US has increased dramatically since 2021, likely driven by the expansion of treatment to include obese patients. Additional research will assess and compare longitudinal differences in specific GLP-1s and age- and gender-specific rates in the US.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
RWD33
Topic
Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems
Disease
SDC: Diabetes/Endocrine/Metabolic Disorders (including obesity), STA: Biologics & Biosimilars