{"id":634305,"date":"2025-11-12T18:44:52","date_gmt":"2025-11-12T23:44:52","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=634305"},"modified":"2025-11-12T18:44:52","modified_gmt":"2025-11-12T23:44:52","slug":"does-united-healthcare-cover-trulicity","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-united-healthcare-cover-trulicity\/","title":{"rendered":"Does United Healthcare cover Trulicity?"},"content":{"rendered":"

Trulicity<\/span><\/a> (dulaglutide) is a <\/span>brand-name<\/span> once-weekly injectable <\/span>prescription medication<\/span> known as a <\/span>GLP-1 receptor agonist<\/span><\/a>. <\/span>Trulicity<\/span><\/a>, which belongs to the same drug class as <\/span>Ozempic<\/span><\/a> (<\/span>semaglutide<\/span>) and <\/span>Victoza<\/span><\/a> (<\/span>liraglutide<\/span>), is <\/span>FDA-approved<\/span> to improve <\/span>blood sugar levels<\/span><\/a> in adults and children aged 10 years and older with <\/span>Type 2 diabetes<\/span><\/a>. The FDA also approves this medicine to reduce the risk of major adverse cardiovascular events (<\/span>heart attack<\/span><\/a>, <\/span>stroke<\/span><\/a>, and cardiovascular death) in adults with <\/span>Type 2 diabetes<\/span> and cardiovascular disease or multiple risk factors for heart disease. Many <\/span>insurance plans<\/span> provide coverage for <\/span>Trulicity<\/span>, although specific plan details vary, and <\/span>prior authorization<\/span><\/a> is often required.\u00a0<\/span><\/p>\n\t\t

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\n\t\t\t\t
\n\t\t\t\t\tTrulicity 1.5mg\/0.5mL (4 Pens)\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t
\n\t\t\t\"Walmart\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$825.15\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\"Walmart\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$825.15\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\tSee Trulicity prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n

Does <\/span>United Healthcare<\/span> cover <\/span>Trulicity<\/span>?<\/span><\/h2>\n

Trulicity<\/span> is often covered by <\/span>United Healthcare<\/span> (<\/span>UHC<\/span>) when prescribed for an <\/span>FDA-approved<\/span> use. For example, your plan may cover <\/span>Trulicity<\/span> for <\/span>Type 2 diabetes<\/span> but not for an <\/span>off-label use<\/span><\/a> (a non-<\/span>FDA-approved<\/span> use) such as <\/span>weight loss<\/span><\/a>. According to <\/span>Trulicity<\/span>\u2019s manufacturer Eli Lilly<\/span><\/a>, most commercial plans\u2014such as those through an employer\u2014do provide coverage for <\/span>Trulicity<\/span>.\u00a0<\/span><\/p>\n

It\u2019s challenging to provide a definitive \u201cyes\u201d or \u201cno\u201d answer regarding whether United covers <\/span>Trulicity<\/span>. <\/span>Insurance companies<\/span> offer various plans, and each <\/span>health plan<\/span> has its own <\/span>formulary<\/span><\/a>, a list of covered drugs and their corresponding pricing tiers. The best way to determine if your specific <\/span>UnitedHealthcare plan<\/span> covers <\/span>Trulicity<\/span> is to check the most recent <\/span>formulary<\/span> for your plan. There are also often <\/span>prior authorization<\/span> requirements, meaning that your <\/span>healthcare provider<\/span> will need to submit paperwork to your <\/span>insurance company<\/span> explaining why you need this medication.\u00a0<\/span><\/p>\n

We were able to find some general information regarding United\u2019s coverage of <\/span>Trulicity<\/span>, but to confirm, you\u2019ll want to check with your specific plan. A document entitled “<\/span>UnitedHealthcare<\/span> Pharmacy Clinical Pharmacy Programs<\/span><\/a>” notes that a 12-month authorization may be approved for individuals who meet specific criteria, which must be submitted by the <\/span>healthcare provider<\/span>, including medical records that confirm a diagnosis of <\/span>Type 2 diabetes<\/span> and supporting laboratory results. A renewed <\/span>prior authorization<\/span> may be required after this time in order for the insurance to continue covering <\/span>Trulicity<\/span>.\u00a0<\/span><\/p>\n

Another United document<\/span><\/a> lists the drugs that are covered in 2025, noting that <\/span>Trulicity<\/span> requires <\/span>prior authorization<\/span> and is classified as a Tier 3 drug (defined as a mid-range cost medication). And a <\/span>Medicaid plan<\/span><\/a> that is administered through <\/span>UHC<\/span> has <\/span>Trulicity<\/span> listed as a Tier 1 drug with $0 <\/span>copay<\/span>, although a <\/span>prior authorization<\/span> is required. It\u2019s important to note that Medicaid plans may vary by state, though.\u00a0<\/span><\/p>\n

Bottom line<\/b>: Your plan may cover <\/span>Trulicity<\/span> if you fit the criteria for use. The prescription will usually require <\/span>prior authorization<\/span>. You can contact your specific plan directly to inquire about coverage and your <\/span>out-of-pocket costs<\/span>.\u00a0<\/span><\/p>\n

How much does <\/span>Trulicity<\/span> cost?<\/span><\/h2>\n

How much does <\/span>Trulicity<\/span> cost with <\/span>United Healthcare<\/span>?<\/span><\/h2>\n

It\u2019s challenging to determine an average <\/span>copay<\/span>, as plans vary significantly in their coverage and costs. Moreover, there are several other considerations, including <\/span>deductibles<\/span>, <\/span>coinsurance<\/span>, and the coverage phase. Because insurers continually update their <\/span>formularies<\/span>, the best way to determine your costs is to contact your <\/span>health insurance plan<\/span> directly or check the current <\/span>United Healthcare<\/span> formulary<\/span> for your specific plan.<\/span><\/p>\n

How to check whether your <\/span>United Healthcare plan<\/span> covers <\/span>Trulicity<\/span>\u00a0<\/span><\/h2>\n

To find out whether your specific <\/span>United Healthcare plan<\/span> covers <\/span>Trulicity<\/span>, you can:<\/span><\/p>\n

Without insurance or discounts, an average <\/span>one-month supply<\/span><\/a> of <\/span>Trulicity<\/span>\u2014four, 1.5 mg\/0.5 ml pens\u2014costs about $1,399.\u00a0<\/span><\/p>\n