Trulicity Cost, Coupons & Savings Card

Trulicity price without insurance

Trulicity's US cash price is one of the highest in the diabetes drug class, reflecting its status as a brand-name biologic with no generic equivalent. Here are the rough price ranges to expect at US retail pharmacies for a one-month supply (4 pens):

Trulicity cost with insurance

With commercial insurance coverage, most patients do not pay anywhere close to the cash price. Typical out-of-pocket costs depend on your plan's formulary tier, copay structure, and prior authorization requirements.

• Preferred brand tier: Typical copay of $30–60 per month.
• Non-preferred brand tier: Typical copay of $60–150 per month.
• High-deductible plans (before deductible met): You may pay the full contracted price of ~$800–1,000 until the deductible is satisfied.
• With the manufacturer savings card: Commercially insured, eligible patients can often bring their copay down to $25 per month.

Trulicity savings card and $25 coupon

Eli Lilly's Trulicity Savings Card is the single biggest cost-saver available to most commercially insured patients. The card is offered through Lilly's official program and has specific eligibility rules:

• You must have commercial insurance that covers Trulicity.
• You must have a valid prescription for Trulicity for an FDA-approved indication (type 2 diabetes or cardiovascular risk reduction in type 2 diabetes).
• You are not eligible if you are enrolled in Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state-funded prescription drug program.
• You are a US resident.
• The program has a per-prescription savings cap and an annual maximum benefit, both of which Lilly updates periodically.

When you present the savings card with a covered Trulicity prescription at a participating pharmacy, your copay is reduced to as little as $25 per one-month supply (up to program limits). The exact savings depend on the difference between your insurance copay and the program's reimbursement cap.

Trulicity coupon for Medicare patients

This is an area where many Medicare patients are frustrated: the Eli Lilly Trulicity Savings Card is not available to Medicare beneficiaries. US federal law (specifically, the federal anti-kickback statute) prohibits manufacturer copay assistance cards from being used in combination with federal healthcare programs including Medicare Part D, Medicaid, TRICARE, and the VA system.

Trulicity patient assistance program

Eli Lilly runs a patient assistance program called the Lilly Cares Foundation that can provide Trulicity free of charge to patients who meet income and insurance eligibility requirements. This is a separate program from the Trulicity Savings Card and has a different target population.

• Eligibility generally requires that the patient be a US resident, have a valid Trulicity prescription for an FDA-approved indication, and meet specific income criteria (typically tied to a multiple of the federal poverty level).
• Patients who are uninsured or whose insurance does not cover Trulicity may qualify.
• Medicare patients may also qualify under specific circumstances where commercial copay assistance is unavailable.
• Applications typically require a clinician's signature.

Always check the official Lilly Cares Foundation website for current eligibility rules, required documents, and application procedures. Eligibility and program details change periodically.

Trulicity on GoodRx

Where is the cheapest place to buy Trulicity?

There is no single "cheapest pharmacy" for Trulicity — prices vary by region, pharmacy chain, and what kind of discount program you're using. A few patterns hold up consistently:

• With the manufacturer savings card: Any participating pharmacy will give you the same as-low-as-$25 copay. Use your regular pharmacy for convenience.
• Without insurance or savings card: Large warehouse pharmacies (Costco's pharmacy, for example) often have lower contracted prices than standalone chains, particularly for members. You do not always need a Costco membership to use the pharmacy.
• Mail-order specialty pharmacies: If your insurance requires or incentivizes a specialty mail-order pharmacy for Trulicity, that is typically your lowest-cost option within the plan.
• Walmart, Kroger, HEB, Publix, and similar: Cash prices on Trulicity at big-chain pharmacies tend to cluster within $50 of each other, so shopping around on price alone rarely saves huge amounts at the counter.

Is there a generic Trulicity?

Cheaper Trulicity alternatives

If cost is your main reason for looking elsewhere, there are several paths — some within the GLP-1 class, some outside it. Any of these changes should be made in consultation with your clinician.

Within the GLP-1 / GIP-GLP-1 class

• Ozempic (semaglutide). List price similar to Trulicity (~$1,000/month); Novo Nordisk offers its own commercial savings card with similar eligibility rules.
• Mounjaro (tirzepatide). Same list price range, with a Lilly savings program. Often preferred when weight loss is part of the goal.
• Rybelsus (oral semaglutide). A daily oral tablet version of semaglutide, typically priced similarly to the weekly injections; some patients prefer it for its route of administration rather than cost.

Outside the GLP-1 class

• Metformin. The first-line diabetes medication, typically under $10 per month as a generic. Almost always used alongside GLP-1s rather than instead of them.
• SGLT2 inhibitors (Jardiance, Farxiga, Invokana). A different drug class with different mechanism (removing glucose through the urine). Offers A1c reduction, some weight loss, and cardiovascular / kidney benefits at a somewhat lower price point than GLP-1s.
• DPP-4 inhibitors (Januvia, Tradjenta, Onglyza). Oral, weight-neutral, typically lower cost than GLP-1s. Much less effective for weight and generally less effective for A1c reduction than GLP-1s.
• Sulfonylureas (glipizide, glimepiride). Very cheap as generics, but cause weight gain and hypoglycemia — largely falling out of favor.

Frequently asked questions