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Key takeaways
Many Medicare Part D plans cover Trulicity, but copays and coinsurance amounts vary from plan to plan. Some plans require prior authorization and step therapy before covering Trulicity.
If you can’t afford Trulicity, additional assistance programs are available for Medicare recipients.
Trulicity is the brand name for dulaglutide, a GLP-1 agonist medication used to manage glucose (blood sugar) in people with Type 2 diabetes. It’s also prescribed for people with both diabetes and heart disease to lower their risk of major cardiovascular events. Trulicity is not insulin; instead, it’s a medication meant to be used in conjunction with diet and exercise to help control your blood sugar levels. Trulicity is administered via a once-weekly injection. Currently, there is no generic version of Trulicity that’s FDA approved.
Here, we’ll look at Medicare coverage of Trulicity, how much it costs with Medicare, and various ways of paying for a Trulicity prescription, including Trulicity assistance programs for Medicare recipients.
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Does Medicare cover Trulicity?
Medicare Part D covers Trulicity in many cases. However, coverage varies based on what Medicare plan you are on. On top of that, many plans require prior authorization or have copays or deductibles. That means that even though Medicare often covers Trulicity, it’s not always easy or affordable to get it with Medicare coverage alone. And the amount you pay may vary throughout the year.
Taher Saifullah, MD, a pain management specialist and founder of Spine & Pain Institute Los Angeles, works with patients who live with both chronic pain and diabetes and says that while Medicare typically covers Trulicity, coverage isn’t always straightforward. Trulicity is often placed at a higher tier than other drugs, which means that copayments may be quite high.
“The rules vary by plan, so I usually recommend checking with your insurance or having your pharmacist look it up for you,” he says.
How much does Trulicity cost with Medicare?
If you buy Trulicity without Medicare or other forms of insurance, the price can be quite high. The retail cost of a month’s supply of Trulicity (four 0.5 mL of 1.5 mg/0.5 mL pens) is currently around $1,397 without insurance. In 2024, the average cost of Trulicity for Medicare beneficiaries was around $2400 per year. But the monthly amount will vary based on your plan and what stage of coverage you are in.
Trulicity assistance for Medicare patients
When people are concerned about how much a drug costs, they often ask if there’s a generic version available for a reduced rate. When it comes to Trulicity, there isn’t currently a generic version of dulaglutide that’s FDA approved or available for prescription. The patent is expected to expire in 2027, so a generic version may become available in the years that follow.
If you are having trouble getting prescription drug coverage for Trulicity, you may need to look for other ways to save. The good news is that there are several viable options available to you.
SingleCare coupons
SingleCare coupons can help you save on Trulicity. While Trulicity out-of-pocket costs can total $1,397 for a four-week supply, you can pay about $825 instead, depending on your choice of pharmacy. Using your SingleCare prescription discount card or coupon is simple. Just show the coupon to your pharmacist, who processes it for you and tells you the amount you owe.
RELATED: Does SingleCare work with Medicare?
Medicare Extra Help Program
Another option to consider if you’re looking for help paying for Trulicity is the Medicare Extra Help program, available through Social Security, says Alyssa Rojo, MSN, RN at DiabetesTeam. You can apply for this program either before or after enrolling in Medicare Part D. “However, as this is through the government, those who qualify would need to have income and resources (e.g., stocks, bonds, money in a retirement account, etc.) below a low dollar amount,” Rojo notes.
Manufacturer rebates and coupons
Trulicity coupons may be available through the manufacturer, Lilly. Contact Lilly to find out if you qualify.
Patient assistance programs
There are various programs that help people afford prescription drugs. For Trulicity coverage, you might consider the nonprofit Lilly Cares. This organization “provides Lilly medications at no cost to patients who qualify, which is essentially low- to moderate-income households,” Rojo shares. Additional information about how to apply and the eligibility requirements can be found at the Lilly Cares website.
Free samples at the healthcare provider’s office
Doctors may be able to give limited amounts of free samples, especially when starting a new medication. “I give out free samples when I can, especially for patients just starting out,” Dr. Saifullah says. However, relying on free samples is not a sustainable savings method in the long-term.
Trulicity alternatives that may be less expensive
Don’t change medications without seeking medical advice from a healthcare professional first. However, for some people, Trulicity alternatives work just as well for their health needs, and some may be more affordable.
“There are a few medications in the same family as Trulicity, called GLP-1 receptor agonists, that might be more affordable or better covered by your insurance,” Dr. Saifullah says. “Ozempic, Victoza, or Bydureon are examples, and sometimes they’re easier to get approved.”
There are other diabetes medications, or medications used to control blood sugar, that you can discuss with your healthcare provider. A comprehensive list of Trulicity alternatives can be found here.
The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Jan.7, 2026. Prices vary by pharmacy. Visit our Trulicity coupon page for updated Trulicity prices near you.
- Medicare Part D in 2025: A first look at prescription drug plan availability, premiums, and cost sharing, KFF (2024)
- Drugs likely subject to Medicare negotiation, 2026-2028, J Manag Care Spec Pharm (2023)
- Medicare coverage and patient out-of-pocket costs for cardiovascular-kidney-metabolic medications, JAMA (2024)
- Apply for Medicare Part D Extra Help Program, Social Security Administration
- Trulicity, Lilly.com (2025)
- Check your eligibility, Lilly Cares Foundation (2025)