Trulicity, or dulaglutide, is a once-weekly injection for adults with type 2 diabetes. It helps control blood sugar when diet and exercise aren’t enough. The drug also lowers risks of major heart events in those with established cardiovascular disease.
Many patients focus on affordability in 2026. List prices hover around $1,000 monthly, but actual costs vary widely. Savings options, insurance, and programs make it more accessible for eligible users.
This guide covers current 2026 pricing, coupons, patient assistance, Medicare details, and comparisons. It includes tips to lower out-of-pocket expenses. An FAQ addresses frequent questions at the end.
What Is Trulicity and How Does It Work?
Trulicity belongs to GLP-1 receptor agonists. It mimics a gut hormone to boost insulin release after meals. This slows digestion and reduces appetite naturally.
The pen delivers doses from 0.75 mg to 4.5 mg weekly. Start low to minimize side effects like nausea. Most see better A1C levels within months.
It’s not for type 1 diabetes or ketoacidosis. Doctors prescribe it alongside other therapies. Regular monitoring ensures safe, effective use.
Current Trulicity Prices in 2026
The list price for Trulicity stands at about $1,006.93 per month for four pens. This wholesale acquisition cost applies without discounts. Retail prices often range from $950 to $1,200 depending on pharmacy and dose.
Without insurance, expect around $1,000-$1,400 monthly. GoodRx discounts bring it down to $950-$1,000 in many areas. Prices fluctuate slightly by location and strength.
A monthly supply means four prefilled pens. Higher doses like 4.5 mg may cost a bit more. Always compare at local pharmacies.
Factors Affecting Your Trulicity Cost
Insurance coverage plays the biggest role in final price. Commercial plans often cover it with copays from $25-$100. High-deductible plans mean paying full until met.
Medicare Part D varies by plan tier and stage. Some beneficiaries pay hundreds annually. Low-income programs reduce costs significantly.
Pharmacy choice matters too. Chains like CVS or Walgreens may differ from independents. Online tools help find the lowest price nearby.
Trulicity Savings Card from Lilly
Eli Lilly offers a savings card for commercially insured patients. Eligible users pay as little as $25 per prescription. This applies regardless of dose for up to 12 pens yearly.
The card caps savings at $150 monthly and $1,950 annually in some cases. Activation is required online or by phone. It’s unavailable for government insurance like Medicare.
Check terms as programs update yearly. Many pay $0-$47 with coverage. Download from the official site.
- Activate online for quick use.
- Present card at pharmacy checkout.
- Track remaining savings easily.
- Renew if eligible next year.
Patient Assistance Programs for Trulicity
Lilly Cares provides free medication to qualifying low-income patients. No insurance or denied coverage often qualifies. Apply through their website or hotline.
Income guidelines typically cover those below federal poverty levels. Proof of income and prescriptions required. Approval grants up to yearly supply.
Other nonprofits assist too. Simplefill helps with applications. These programs bridge gaps for uninsured or underinsured.
- Gather tax returns and pay stubs.
- Submit with doctor’s note.
- Follow up on application status.
- Reapply annually if needed.
Medicare Coverage and Costs for Trulicity in 2026
Medicare Part D covers Trulicity but with variable costs. Selected for 2026 negotiations, prices may drop by 2028. Current out-of-pocket averages hundreds yearly.
Extra Help lowers costs for low-income seniors. Copays drop to $4-$10 per script. Check plan formulary for tier placement.
Part D out-of-pocket cap helps in catastrophic phase. Negotiations ongoing aim to cut future expenses. Update plans during enrollment.
How to Find the Best Discounts and Coupons
Use GoodRx or SingleCare for instant coupons. These slash prices to $800-$1,000 without insurance. Print or show digitally at checkout.
Compare multiple pharmacies via apps. Some offer loyalty discounts. Manufacturer card stacks with some but not government plans.
Track promotions on Lilly’s site. Join patient communities for tips. Consistency saves money long-term.
- Search coupons before refilling.
- Ask pharmacist about matches.
- Use apps for price alerts.
- Combine with mail-order if covered.
Common Side Effects of Trulicity
Nausea affects many at start but often fades. Vomiting or diarrhea may occur initially. Abdominal pain happens in some users.
Low blood sugar risk rises with other diabetes meds. Injection site reactions include redness. Thyroid concerns prompt monitoring in at-risk patients.
Report severe symptoms promptly. Hydration eases gut issues. Dose increases gradually help tolerance.
- Nausea: Eat small meals.
- Diarrhea: Stay hydrated.
- Fatigue: Rest as needed.
- Headache: Use over-the-counter relief.
Comparing Trulicity to Similar GLP-1 Drugs
Trulicity competes with Ozempic and others in diabetes management. All offer weekly dosing and heart benefits. Costs and coverage differ slightly.
Ozempic often sees similar list prices around $1,000. Savings programs vary by maker. Effectiveness and side effects compare closely.
Here’s a simple comparison:
| Drug | List Price (Monthly) | Main Savings Option | Primary Use Focus |
|---|---|---|---|
| Trulicity | ~$1,007 | Lilly Savings Card $25 | Diabetes + CV risk |
| Ozempic | ~$997-$1,000 | Manufacturer card $25 | Diabetes + weight |
| Others | Varies | Varies by brand | Similar benefits |
This table highlights key cost aspects.
Tips for Managing Trulicity Costs Long-Term
Plan refills early to avoid gaps. Use mail-order through insurance for lower copays. Store pens properly to prevent waste.
Discuss dose adjustments with your doctor. Lower effective doses save money sometimes. Explore biosimilars if they emerge.
Budget for supplies like alcohol swabs. Join support groups for shared savings ideas. Regular A1C checks justify continued use.
- Review insurance yearly.
- Apply for assistance early.
- Use discount apps routinely.
- Talk to doctor about alternatives.
When to Talk to Your Doctor About Costs
Mention affordability concerns openly. They may switch to covered options. Samples sometimes bridge short gaps.
Ask about prior authorization help. Report side effects affecting adherence. Doctors connect to resources often.
Regular visits monitor progress and costs. Adjustments improve outcomes and savings.
Conclusion
Trulicity remains a strong option for type 2 diabetes control in 2026, with list prices around $1,000 monthly but real costs much lower through savings cards, coupons, and assistance. Medicare negotiations promise future relief, while current programs help many pay little or nothing. Work with your healthcare team and explore all options to make treatment sustainable.
FAQ
What is the list price of Trulicity in 2026?
The list price is about $1,006.93 per month for four pens. This is the wholesale cost before discounts. Actual payments depend on insurance and savings.
How can I get Trulicity for $25 per month?
Use the Lilly Savings Card if commercially insured. Eligible patients pay as little as $25 per prescription. Activate it on the official website.
Is Trulicity covered by Medicare in 2026?
Yes, under Part D plans, but costs vary. It’s selected for future negotiations effective 2028. Extra Help reduces expenses for qualifying beneficiaries.
What if I can’t afford Trulicity without insurance?
Apply to Lilly Cares for free medication if low-income. GoodRx coupons lower cash prices significantly. Patient assistance fills coverage gaps.
Will Trulicity prices drop soon due to negotiations?
Negotiations occur in 2026 for prices starting 2028. Current discounts and programs help now. Monitor CMS updates for changes.
Can I use coupons with Medicare for Trulicity?
No, manufacturer savings cards exclude government insurance. Use Part D coverage or Extra Help instead. Other discounts don’t apply to Medicare.
Dr. Usman is a medical content reviewer with 12+ years of experience in healthcare research and patient education. He specializes in evidence-based health information, medications, and chronic health topics. His work is based on trusted medical sources and current clinical guidelines to ensure accuracy, transparency, and reliability. Content reviewed by Dr. Usman is for educational purposes and does not replace professional medical advice.