Among those in the GLP-1 RA cohort, those in the highest quartile of OOP costs were slightly older (mean age 73.6 vs 71.3), more likely to be male (59.7% vs 50.2%), more likely to be White (70% vs 53.8%), and had a higher proportion with diabetic nephropathy (23.4% vs 19.5%), all when compared against those in the lowest quartile of OOP costs (Table 1). Here, GLP1R is linked to diabetic kidney disease.