Key takeaways
Trulicity is a brand-name prescription drug FDA-approved to treat Type 2 diabetes mellitus in adults and children 10 years and older.
The price of Trulicity without insurance is nearly $1,400 for four weekly injections.
Health insurance usually covers Trulicity, but people without insurance have several ways to reduce its cost significantly.
Trulicity (dulaglutide) is a brand-name prescription drug used to lower blood sugar levels and reduce the risk of heart attacks or strokes in people with Type 2 diabetes. Without insurance coverage, a 28-day supply of Trulicity can cost around $1,394 for 4, 0.5 mL single-dose injection pens. There is no generic version of Trulicity, but uninsured patients can save money with a SingleCare discount card or through other strategies.
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How much does Trulicity cost without insurance?
The average cash price of Trulicity is $1,394 for four pen injectors containing 0.5 mL of 1.5 mg/0.5 mL of the drug. Based on this average price, a weekly dose can cost about $350, although people typically buy four pens at once in a box. A full year of Trulicity therapy could cost about $18,000.
Trulicity belongs to a drug class called glucagon-like peptide-1 receptor agonists (GLP-1 agonists). Like many other GLP-1 agonists, it is sold as a premium-priced brand-name medication. There are currently no generic versions of Trulicity available, which could explain its high cost. The only GLP-1 agonists with a generic version are Victoza (liraglutide) and Saxenda (liraglutide).
Those who are uninsured may want to consider asking a prescribing healthcare provider for medical advice about other medications that lower blood glucose. Other less-expensive drugs include metformin, glipizide, glyburide, pioglitazone, and acarbose. They may work differently than Trulicity and have different side effects, and some may not be suitable for every person’s medical situation.
RELATED: Trulicity alternatives: What can I take instead of Trulicity?
How much does brand-name Trulicity cost?
The average monthly cost of Trulicity is about $1,394. While a generic or biosimilar is not yet available, one may become available as early as 2027.
RELATED: Is there a Trulicity generic?
| Compare Trulicity prices to related drugs | |||
|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Trulicity (dulaglutide) | $1,394 for 4, 0.5 mL of 1.5 mg/0.5 mL pens | $825 for 4, 0.5 mL of 1.5 mg/0.5 mL pens of brand-name Trulicity at Walmart | See latest prices |
| Victoza (liraglutide) | $1,403 for 3, 3 mL of 18 mg/3 mL multidose pens | $344 for 3, 3 mL of 18 mg/3 mL multidose pen of generic Victoza at Walgreens | See latest prices |
| Saxenda (liraglutide) | $1,899 for 5, 3 mL of 18 mg/3 mL multidose pens | $737 for 5, 3 mL of 18 mg/3 mL multidose pen of generic Saxenda at CVS | See latest prices |
| Ozempic (semaglutide) | $1,388 for 1, 3 mL of 2 mg/3 mL multidose pen | $792 for 1, 3 mL of 2 mg/3 mL multidose pen of brand-name Ozempic at Kroger | See latest prices |
| Rybelsus (semaglutide) | $1,371 for 30, 14 mg tablets | $903 for 30, 14 mg tablets of brand-name Rybelsus at Kroger | See latest prices |
| Wegovy (semaglutide) | $1,917 for 30, 1.5 mg tablets | $1,011 for 30, 1.5 mg tablets of brand-name Wegovy at Kroger | See latest prices |
Trulicity costs by dose
Trulicity is administered once weekly as a subcutaneous injection (under the skin). Doses start at 0.75 mg and can be increased to 1.5 mg every week after 4 weeks. The dosage can then be increased by 1.5 mg every 4 weeks, up to a maximum of 4.5 mg once per week. Prices may vary based on dosage strength.
Compare Trulicity prices by strength |
|
|---|---|
|
(per 4 injection pens) |
|
| Strength | SingleCare price of brand-name Trulicity |
| 0.75 mg/0.5 mL | $812 at Kroger |
| 1.5 mg/0.5 mL | $825 at Walmart |
| 3 mg/0.5 mL | $758 at Kroger |
| 4.5 mg/0.5 mL | $861 at Walmart |
Is Trulicity covered by insurance?
Trulicity is covered by many commercial health insurance plans, as well as Medicaid and Medicare. If some plans don’t cover Trulicity, they might cover other GLP-1 agonists, such as Ozempic or Victoza.
Trulicity costs less than $75 per month for 90% of people with employer-sponsored or private health insurance plans, according to Eli Lilly and Co., the drug manufacturer. About 90% of people with Medicare Part D plans pay less than $47 per month. Other factors, such as deductibles and copays, will increase out-of-pocket costs.
RELATED: How much does Trulicity cost with Medicare?
How to get Trulicity covered by insurance
Although drug coverage for Trulicity is common, the insurance company might deny payment for a variety of reasons. If Trulicity is prescribed for chronic weight management or any other off-label use, it’s almost certain to be denied. In that case, you can file a formulary exemption. The prescriber will need to submit documentation to justify the prescription.
The insurance company may refuse payment due to requirements such as prior authorization or step therapy. Again, the prescriber can submit paperwork regarding treatment history and medical necessity. Even with all the appropriate paperwork submitted, the insurance company can still deny payment. In that case, both you and the prescriber can appeal the decision.
RELATED: What you need to know about prior authorization
How to get Trulicity without insurance
At an average annual cost of around $18,000, a Trulicity prescription may be difficult to afford without insurance coverage. Patient assistance programs, manufacturer coupons, and a Trulicity savings card may help, but not everyone can meet the eligibility requirements. There are a few savings options that may help reduce the cost.
1. Use a SingleCare discount card when purchasing Trulicity
A free Trulicity coupon from SingleCare can save people more than $500 on each Trulicity refill. SingleCare discount cards are accepted at thousands of local pharmacies. Unlike manufacturer coupons, anyone can use SingleCare regardless of insurance status and income level. SingleCare is free to use and available to everyone. Registered members can save even more, and it’s fast and free to join.
Save up to 80% on Trulicity with SingleCare
Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
2. Look for the best price
Many people don’t know that prescription medication prices can vary between pharmacies. For high-priced drugs like Trulicity, the price difference between two pharmacies could be as much as $100 per fill. Be sure to check SingleCare’s Trulicity pharmacy price comparison table and call around to compare prices before filling your prescription. Some pharmacies may also offer their own discount programs or coupons that can further reduce the cost.
3. Ask the prescriber about other GLP-1 drugs
Other GLP-1 receptor agonists may cost less for you. The retail price may still be high, but it could be hundreds of dollars less than Trulicity. Your prescriber can help you choose a medication based on your medical condition and budget. Some alternative GLP-1 drugs may offer manufacturer savings programs or generic options. For example, Victoza and Saxenda are available as cheaper generics with the same active ingredients as their brand-name counterparts.
4. Switch to other diabetes drugs
If paying for a GLP-1 agonist is too expensive, ask your healthcare provider for medical advice about alternative diabetes medications that may work for you. When purchased in their generic versions, these drugs may work well at lowering blood sugar. Options like metformin, sulfonylureas, or DPP-4 inhibitors may be significantly less expensive and still effective for many people with diabetes.
5. Ask the prescriber about other weight loss medications
Even people with insurance coverage typically pay full price for Trulicity if it’s prescribed for obesity. If a formulary exception or appeal does not work, ask your healthcare provider about other weight-loss drugs, such as Xenical (orlistat) and phentermine. These medications may work in different ways than GLP-1 agonists but may be better covered by your insurance plan.
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The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Aug. 7, 2026. Prices vary by pharmacy. Visit our coupon page for updated drug prices at pharmacies near you.
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