The IMX Data Behind
Every Decision
That Matters

GLP-1

44 quarters of ground truth.

This is what IMX Data sees — and what it means for you.

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Chapter 01 · The Challenge
What if you could see the market
more clearly than anyone else?
🌧️

National Data Masks Truth

Aggregated averages hide critical variation in state-by-state adoption, spend, and payer mix.

⏱️

Lagging Signals

By the time public data surfaces, the market has moved. Competitors have already repositioned.

🧩

Fragmented Sources

Piecing together demographics, drug mix, and geography means months of reconciliation with no single truth.

The GLP-1 market grew 3,497% in a decade. Every quarter you operate without granular claims intelligence, you're navigating the fastest-growing drug market in history — blindfolded.

GLP-1 Market Growth
Quarterly claims volume · 2015–2025 · IMX Data
522K
Q1 2015
+3,497%
Total Growth
18.8M
Q4 2025
Chapter 02 · The Market
The GLP-1 market is unlike anything
we've seen before.
231.6M
Total U.S. Claims
2015–2025
$293B+
Total Market Spend
All-Time
3,497%
Claim Volume Growth
Since 2015
$26.1B
Market Spend
Latest Quarter
Manufacturer Share — Total Payments
Total GLP-1 pay volume by manufacturer · IMX Data
Claims per Year — by Manufacturer
Novo Nordisk vs. Eli Lilly · annual claims · IMX Data
Chapter 02 · The Market
$293B spent.
Here's how it happened.
Quarterly Spend — Plan Pay vs. Patient Pay
$USD billions · 2015–2025 · IMX Data
Plan / Insurer Pay
Patient Out-of-Pocket
$293B+
Total Market Spend
All-Time
$26.1B
Latest Quarter
Spend
$296M
2015 Baseline
Quarterly Spend

The spend story is as dramatic as the claims story — but the composition matters. Plan pay has surged while patient out-of-pocket compresses, reflecting insurer adoption waves and manufacturer coupon programs.

2015
Baseline. ~522K quarterly claims. GLP-1s are niche diabetes drugs. $296M/quarter.
2021
Wegovy FDA approval. First obesity breakthrough. Spend jumps to $5.2B/quarter.
2023
Mounjaro & Zepbound era. Tirzepatide disrupts. Claims hit 9.5M/quarter.
2025
$26.1B/quarter. WHO endorses long-term GLP-1 use. 18.8M quarterly claims.

The signal: When patient OOP flattens while plan pay accelerates, it marks an insurer coverage wave — visible in IMX data quarters before analyst reports catch up.

Chapter 03 · The Solution
Meet IMX Data.
The granular claims layer
you've been looking for.

IMX aggregates, normalizes, and delivers U.S. pharmaceutical claims at a depth no other provider matches — state-level, quarter-by-quarter, segmented by drug, payer, demographics, and geography.

50
U.S. States
44
Quarters of Data
7
GLP-1 Drugs Tracked
7
Payer Segments

📍 State-Level Resolution

All 50 U.S. states. Real prescribing behavior, state by state, every quarter — not national averages.

📅 44 Quarters of History

2015–2025. Every inflection point, every policy shock, every drug launch is visible in the data.

🔬 Drug-Level Competitive Intelligence

Ozempic vs. Wegovy vs. Mounjaro vs. Zepbound — claims, spend, and share broken out by drug.

💵 Payer Mix Breakdown

Medicare, Medicaid, PBM, Commercial, Cash — each tracked separately, every single quarter.

🧬 Full Patient Demographics

Age cohorts, gender — every dimension needed to model real patient populations with precision.

Capability 01 · Geographic Intelligence
The direction of the market matters just as much as the pace of its movement.

National averages mask enormous state-to-state variation. IMX Data delivers prescribing intelligence at the state level (even as granular as Zip level) — identify where adoption is accelerating, where payers are resisting, where the next opportunity is forming.

Real insight: When Zepbound received FDA approval, IMX Data revealed which states adopted within the first quarter vs. those lagging 6+ months — exposing physician network dynamics invisible nationally.

NY
18.5M claims
CA
18.2M claims
TX
17.5M claims
FL
16.6M claims
PA
12.3M claims
Top 10 States by GLP-1 Claims
Total claims 2015–2025 · IMX Data
Capability 02 · Geographic Intelligence
GLP-1 claim intensity,
state by state.
Total GLP-1 Claims by State · 2015–2025
Hover a state to see exact claim volume · IMX Data
Lower
Higher
Hover a state
total claims
NY
18.5M · #1
CA
18.2M · #2
TX
17.5M · #3
FL
16.6M · #4
PA
12.3M · #5

50 states tracked. Every adoption curve, every payer shift — visible as it happens.

Capability 03 · Drug Mix & Competitive Intelligence
Know which drugs are gaining ground
before your competition does.
Drug Market Share by Claims Volume
Top drugs · All-time · IMX Data
Manufacturer Battle
Novo Nordisk vs. Eli Lilly
Novo Nordisk
113.8M
51.4% share
Eli Lilly
107.7M
48.6% share
Drug-by-Drug Claim Volume
All-time totals · IMX Data
OZEMPIC
70.5M
TRULICITY
50.3M
MOUNJARO
40.7M
WEGOVY
20.9M
ZEPBOUND
16.7M
VICTOZA 3-PAK
13.9M
RYBELSUS
8.5M

IMX tracks every drug on a daily basis. When SURMOUNT-5 showed Zepbound 20.2% vs Wegovy 13.7% weight loss (NEJM, Jan 2025), Zepbound surpassed Wegovy in total claims by Q1 2025 — visible in IMX data the very quarter of publication.

Capability 04 · Payer Mix Intelligence
The payer mix tells a story
most investors are missing.

IMX Data separates Medicare, Medicaid, Commercial, PBM, and Cash-pay volumes. The cash-pay segment alone tells you more about pricing strategy than any analyst report.

Payer Segment Breakdown
Total claims 2015–2025 · IMX Data
Medicare
54.0M
PBM
48.4M
Employer Group
37.9M
Unspecified
34.7M
Commercial
26.1M
Medicaid
23.4M
Cash Pay ⚡
3.1M
Payer Mix Share
% of total claims · IMX Data
💵

Cash Pay: The Signal That Matters

98.7% of spend is covered by payers — but the cash-pay trajectory is the most direct signal for oral GLP-1 pricing. IMX tracks it daily.

Capability 05 · Patient Demographics
Real patients. Real data.
Real answers.
Total Number of Unique Patients by Age Cohort
Total all-time claims by decade born · IMX Data
Gender Split — 231.6M Claims
59.0% Female · 36.0% Male · 5.0% Unknown
👥

1960s Cohort Dominates

The 1960s birth decade leads with 5.0M claims — the highest-volume segment. Oral GLP-1 penetration into younger cohorts is the #1 thesis to validate in upcoming quarters.

5.0M
1960s cohort · highest volume segment

Gender as a Leading Indicator

The company Novo Nordisk believes its newly launched oral version of Wegovy can expand treatment to groups that have so far been under-represented in GLP-1 use, particularly men and younger patients. This can be verified with IMX data.

Why it matters: Oral semaglutide targets cash-pay, younger, male patients — all trackable in IMX breakdowns. First signs of market expansion appear here.

Chapter 04 · What's Coming
The next five years will
reshape this market completely.
2026
Semaglutide patent cliff. Biosimilar pathways open. First cost deflation signals will appear in IMX cash-pay OOP trend data before any analyst report.
2026
Oral GLP-1 at scale. Oral Wegovy approved Dec 2025. IMX payer mix and demographic data are the primary validation layer.
2026-27
Orforglipron (Eli Lilly) FDA review. No food/water restrictions. ATTAIN-MAINTAIN trial shows injectable-to-oral switching viable at scale.
2027
Medicare obesity coverage. A yes could add tens of millions of eligible patients overnight. IMX captures the payer shift in real time.
2030
$150B+ global market. WHO: fewer than 10% of eligible patients will have access. 190+ assets in development. The access gap is the next frontier.
Total Market Spend Trajectory
$USD billions quarterly · IMX Data

IMX Data is the early warning system. Every policy shift, every approval, every pricing change — you'll see its footprint in claims data before it becomes consensus. 44 quarters of proof.

190+
Assets in
Development
<10%
WHO Est. Patient
Access by 2030
The market is moving.
Are you moving
with it?

IMX Data delivers the depth behind the headlines.

Every drug  ·  Every state  ·  Every day.

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