Trulicity Cost: $987 Monthly Without Insurance + Savings Guide

Trulicity is a brand-name GLP-1 receptor agonist manufactured by Eli Lilly and prescribed primarily for managing type 2 diabetes. Because no generic version exists, out-of-pocket expenses can be steep. The cost of Trulicity depends on a few factors: your insurance plan, dosage, pharmacy location, and whether you qualify for manufacturer savings programs or patient assistance programs. Below is a comprehensive breakdown of Trulicity prices in 2026, insurance coverage details, pharmacy comparisons, and every available strategy to lower costs.

TL;DR

• Trulicity (dulaglutide) has a list price of approximately $987 per month without insurance for a 4-pen, 28-day supply, regardless of dosage. 
• With commercial insurance and the Eli Lilly Savings Card, 92% of patients pay as little as $0–$30 per month. Medicare Part D beneficiaries typically pay $0–$100 monthly, and those eligible for the Medicare Extra Help program may pay just $4–$9 per prescription. 
• Uninsured patients who meet income requirements can receive Trulicity for free through the Lilly Cares Foundation. Pharmacy discount cards from GoodRx or SingleCare can bring cash prices down to around $825–$951 per fill.

Trulicity Monthly Cost Without Insurance

Without insurance, Trulicity costs approximately $987 per month based on the manufacturer’s list price (also known as the wholesale acquisition cost, or WAC). This price applies to all dosage strengths from 0.75 mg to 4.5 mg because Trulicity is supplied as a 4-pen, 28-day supply at every dose level, and the cost does not increase as your dose increases.

At local pharmacies, the average retail (cash) price can be even higher. According to SingleCare, the average cash price is approximately $1,392 for four 1.5 mg pens. Pricing at Drugs.com shows prices starting from around $991 for a 2 mL supply. A full year of Trulicity therapy could cost nearly $12,000–$17,000 without any coverage or discounts inaccessible for most patients.

Trulicity is a brand-name medication with no generic alternative currently available. The only GLP-1 agonists with generic versions are exenatide (generic for Byetta) and liraglutide (generic for Victoza). Patients who cannot afford Trulicity should ask their healthcare provider about cheaper alternatives, including oral medications like metformin and sulfonylureas, or other diabetes medications that may be available in generic form.

Trulicity Cost With Insurance 2026

Trulicity is covered by many commercial health insurance plans, Medicaid, and Medicare plans when prescribed for type 2 diabetes. However, insurance coverage specifics depend entirely on each insurance plan’s drug list, known as the formulary. Insurance plans regularly update their drug lists, which could affect how they cover Trulicity and other similar medications. Here is what patients typically pay based on their insurance type:

According to Eli Lilly, 92% of commercially insured patients pay $30 or less per month for Trulicity. The remaining 8% pay an average of $239 monthly. For Medicare Part D beneficiaries, approximately 70% pay between $0 and $100 per month, while the remaining 30% pay an average of $207.

Trulicity may be covered by insurance when prescribed for type 2 diabetes, but is rarely covered for weight loss. If Trulicity is prescribed for chronic weight management or any other off-label use, it is almost certain to be refused coverage by your insurance company. Many health insurance plans require prior authorization for Trulicity prescriptions, especially for new users. Patients may need to demonstrate recent A1c test results showing inadequate blood sugar control and provide documentation of their diabetes diagnosis and treatment history before the insurance provider approves the prescription.

Pharmacy Price Comparison

Prices for prescription medications can vary significantly between pharmacies sometimes by $100 or more. Comparing different pharmacies can help find the best price for Trulicity. The following table shows approximate Trulicity prices at major pharmacies, based on data from GoodRx (prices as of February 2026):

Using a discount card from SingleCare can reduce the cash price of Trulicity to approximately $825 per fill, potentially saving more than $500 on each refill compared to full retail pricing. Many pharmacies also offer their own discount programs or manufacturer savings cards that may lower costs further.

Trulicity Savings Card & Lilly Programs

Eli Lilly offers several savings options to help eligible patients reduce the cost of Trulicity:

Trulicity Savings Card (for Commercially Insured Patients)

The Trulicity Savings Card allows eligible commercially insured patients to pay as little as $25 per 1-month, 2-month, or 3-month prescription fill. The card provides maximum savings of up to $150 per 28-day supply and up to $1,950 per calendar year. Over 90% of insured patients pay between $0 and $30 monthly when using this card. To qualify, you must be 18 or older, a U.S. resident, and have commercial drug insurance that covers Trulicity for an FDA-approved use.

Important: Patients with government insurance (Medicare, Medicaid, TRICARE, VA) are ineligible for the Trulicity Savings Card.

Lilly Cares Foundation Patient Assistance Program

The Lilly Cares Foundation provides Trulicity at no cost to qualified individuals. Eligibility requires being uninsured or having Medicare Part D, with a household income at or below 300% of the Federal Poverty Level for Trulicity (Group 1 medication). If eligible, you could receive the medication for free, directly from the manufacturer. Your healthcare provider must help complete the application. Low-income, uninsured patients may qualify for free medication through this patient assistance program.

LillyDirect

Eli Lilly also offers LillyDirect, a direct-to-patient delivery option that may provide competitive pricing for eligible patients, including telehealth consultations.

Medicare Trulicity Coverage 2026

Medicare Part D and some Medicare Advantage plans frequently include Trulicity on their formularies for managing type 2 diabetes. Coverage specifics depend on each plan’s formulary and tier placement. According to Healthline’s Medicare guide, Trulicity is typically placed as a Tier 3 (non-preferred brand) medication under most Medicare Part D plans.

Medicare beneficiaries with limited income may benefit from the Medicare Extra Help program (also called the Low Income Subsidy), which can reduce prescription costs to just $4–$9 per fill. Medicare patients should note that prior authorization is typically required, and they may need to demonstrate a type 2 diabetes diagnosis, an A1c above 7.5%, and a treatment history showing previous use of metformin or other first-line medications.

If Trulicity is prescribed off-label for weight loss, it’s unlikely your insurance company will cover it Medicare does not currently cover GLP-1 medications for weight management alone. Medicare patients are also ineligible for the Trulicity Savings Card but may qualify for the Lilly Cares Foundation patient assistance program if they meet income requirements.

Trulicity vs GLP-1 Competitors Cost

Trulicity is a GLP-1 receptor agonist primarily used for managing type 2 diabetes, and it can lead to moderate weight loss. However, semaglutide medications like Ozempic and Wegovy are more well-known for weight loss, and tirzepatide medications (Mounjaro, Zepbound) may lead to greater weight loss. Here is how Trulicity compares to other GLP-1 medications on cost:

Trulicity is not FDA-approved for weight loss, but it may be prescribed off-label for this purpose. Other diabetes medications such as metformin and sulfonylureas may be less expensive alternatives some are available as generics for under $10 per month. Patients can ask their healthcare provider about alternative diabetes medications that may be less expensive while still effectively helping to control blood sugar. Liraglutide medications (like Victoza) require daily injections, unlike Trulicity which is injected weekly a convenience factor worth considering.

How to Get Trulicity Cheaper 2026

There are several proven strategies to lower costs for Trulicity in 2026:

1. Use a pharmacy discount card. GoodRx and SingleCare coupons can bring the price down to approximately $825–$951 at participating pharmacies saving hundreds off the retail price.
2. Activate the Lilly Savings Card. Commercially insured patients can pay as little as $25 per month through the Trulicity Savings Card.
3. Try LillyDirect. Eli Lilly’s direct delivery platform offers competitive pricing and home delivery for eligible patients.
4. Apply for patient assistance. The Lilly Cares Foundation may provide free Trulicity for patients with household incomes at or below 300% of the Federal Poverty Level who are uninsured or on Medicare Part D.
5. Request 90-day supplies. Some pharmacies and mail-order options offer lower per-month pricing when you fill a 90-day supply instead of monthly refills.
6. Compare pharmacy prices. As shown above, prices can vary by $100 or more between pharmacies always compare before filling your prescription.
7. Ask about cheaper alternatives. If cost is a barrier, discuss generic options like metformin, glipizide, or other diabetes medications with your healthcare provider to find an approach that aligns with both your health goals and budget.

Trulicity Price Trends 2023–2026

Trulicity prices have risen steadily over recent years. Here is a summary of list prices and average insurance copays over the past few years:

Looking ahead, Trulicity’s patent protection is expected to last until approximately 2031, with biosimilar alternatives potentially entering the market around 2033–2034. When biosimilars become available, patients could see price reductions of 40% or more. Additionally, the November 2025 Most-Favored-Nation pricing agreement between the White House and Eli Lilly set a Trulicity price of $389 per month a significant reduction from the list price though implementation details and timelines vary depending on policy rollout.