What if your members could get off GLP-1s — and stay off?
Most GLP-1 platforms are built around the prescription. We're built around ending it. TextRx.Health is the behavioral layer that turns a lifetime medication into a 24-month program.
Without behavioral support, patients have two options: stay on medication indefinitely, or discontinue and regain everything. Neither works for payers. We built the third option.
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Spend growing 33.5% annually
GLP-1 therapies drove 46.8% of all drug spend increases in 2024. Top payers face costs doubling to $7–8B by 2027.
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30–40% discontinue within 12 months
Not because the drug failed — because the behavioral foundation was never built. Weight regain follows almost universally.
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No one is solving the exit problem
Every platform on the market profits from lifetime prescriptions. TextRx.Health is built around a structured program with a built-in end date.
Early Results
Real people. Real numbers. Zero apps.
25 men. Ages 45–64. 98% response rate. 100% daily engagement. Every single one wanted more.
125 lbs
Top result · Pilot cohort
"I had tried everything. This was the first thing that actually felt like someone was in my corner."
50 lbs
Reduced or eliminated alcohol · Unprompted
"Nobody told me to stop drinking. I just didn't want to anymore. The whole program shifted my mindset."
100%
Looked forward to it daily
"I've tried every app out there. I never looked forward to any of them. This one I actually missed when I didn't hear from it."
Our Approach
We're not going to tell youeverything.
We've built something genuinely different. The details are for the demo — but here's what we can tell you.
Not wellness content. Not an opinion. A behavioral methodology proven to cut type 2 diabetes risk in half — adapted for GLP-1 support.
Delivered where people actually are
No app. No login. No friction at activation. Members engage from day one — at rates the industry hasn't seen before.
A 24-month program with an exit built in
Phase 1 optimizes the medication window. Phase 2 maintains results after discontinuation. There's a finish line — and that's the point.
Incentives fully aligned with payers
We're B2B only. We win when payers save money. There's no business model here that depends on keeping patients medicated.
ROI Calculator
Run your own numbers.
No sales call required to see the math.
$50 per member per month. A 24-month program. A built-in exit. The savings are front-loaded for payers — and they compound.
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Conservative model — excludes downstream diabetes and cardiovascular savings
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Shared savings model available — we only win when you save
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Built on the CDC DPP framework — existing payer reimbursement pathways apply
1,000GLP-1 members enrolled
Members enrolledTotal members starting the TextRx program
50050,000
GLP-1 cost / member / monthNet insurance cost after rebates
$250$400$1,000
Success rateMembers who successfully discontinue GLP-1 after completing the program
20%40%80%
Complication savings / successful member / yearAverage $4,000/yr — sourced from Journal of Managed Care & Specialty Pharmacy, PMC, JAMA Network Open
$1,000$4,000$10,000
Adjust sliders above to see your personalized savings model.
Per successful member
400 successful members
GLP-1 Medication Savings (Years 2+)
5-Year
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10-Year
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Complication Savings
5-Year
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10-Year
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TextRx Program Cost
24-Month Program ($50/mo)
($1,200)
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NET TOTAL 5-YEAR SAVINGS
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NET TOTAL 10-YEAR SAVINGS
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5-Year ROI
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10-Year ROI
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GLP-1 medication savings = years 2–5 (or 2–10) off medication at the selected monthly cost. Year 1 members are on the TextRx program while still on medication. TextRx program cost = $50/mo × 24 months = $1,200 per enrolled member. Program cost applies to all enrolled members; savings apply only to successful members. Complication savings sourced from peer-reviewed research: Journal of Managed Care & Specialty Pharmacy, PMC, JAMA Network Open. Projections are modeled estimates, not guaranteed outcomes.
The Team
Built by people who've lived it.
TextRx.Health started as one friend helping another — a CEO losing 50 lbs through direct, no-nonsense accountability. That human dynamic is now the blueprint for everything we do.
David Greenholtz
CEO & Founder
15+ years in healthcare innovation. Father lost to diabetes at 54. Cancer survivor. He doesn't just lead this company — he is the proof of concept.
Ian Ziering
Co-Founder & Chief Transformation Officer
Four decades in entertainment. At 62, his most important role is this one. That friendship with David — daily check-ins, honest conversations, refusing to quit — didn't just inspire TextRX. It is TextRX.
Dr. Cheryl Bothwell
Chief Medical Officer
Former Director, St. Helena Lifestyle Medicine Institute at Adventist Health. Peer-reviewed outcomes: 49% reduction in medical expenditures. Creator of the #1-rated smoking cessation program. The clinical foundation TextRX is built on.
Book a Demo
The details are in the room.
If GLP-1 spend is a priority for your organization, let's have a real conversation.
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Or reach us at team@textrx.health
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