NYU Langone Specialty Pharmacy Analysis Finds 3.9% of 2,943 GLP-1 Starters Stopped Within a Year
Two retrospective analyses by Shields Health Solutions and partner health systems, presented at the NASP inSPire2026 specialty pharmacy meeting (September 22-25) and reported by AJMC on September 25, 2026, examined GLP-1 therapy managed by health-system specialty pharmacies. At NYU Langone Health, 115 of 2,943 adults (83.4% commercially insured) who started injectable liraglutide, semaglutide, dulaglutide, or tirzepatide between August 2022 and May 2025 stopped within a year (3.9%), with stopping defined as at least 70 days without medication on hand; rates were 1.8% for tirzepatide, 6.1% for semaglutide, 5.9% for dulaglutide, and 25% for liraglutide. A second analysis of 1,707 patients found a median of five days from prescription to first dispense, prior authorization for 95%, and a median out-of-pocket cost of $24.98; the authors noted the single-organization design and lack of a comparison group.