Quick answer: Trulicity cost with Medicare depends on your Part D plan, but in 2026 the most anyone pays for covered drugs is $2,100 for the year.[1] Under the standard benefit design, you pay up to a $615 deductible, then a share of the cost until you hit that cap.[1] Trulicity was also picked for Medicare price negotiation, with any new price starting in 2028.[2]
Prices and program terms checked October 2026. They change often; confirm with the manufacturer or your plan.
Trulicity (dulaglutide) is a once-weekly GLP-1 injection for type 2 diabetes, including to lower heart attack and stroke risk in adults with diabetes and heart disease or risk factors.[9] Because it is a diabetes drug, Part D plans can cover it. For the wider drug class, see our GLP-1 and weight-loss drugs hub.
Does Medicare Part D cover Trulicity?
Yes, for its approved uses. Trulicity was the Medicare drug with the highest spending among those selected for the 2028 negotiation round, used by about 617,000 people with Medicare between November 2024 and October 2025.[2]
Each plan decides:
- Tier: usually a “preferred brand” or “non-preferred brand” tier.
- Cost sharing: a flat copay or a percentage (coinsurance).
- Prior authorization: some plans ask your prescriber to confirm a type 2 diabetes diagnosis.
How to check your plan:
- Log in to your plan’s member site and search the formulary (drug list) for “Trulicity.”
- Use the Medicare.gov Plan Finder, which shows estimated costs by plan.
- Call the member services number on your plan card and ask about tier, copay and prior authorization.
2026 Part D costs: deductible and the $2,100 cap
| 2026 Part D parameter | Amount |
|---|---|
| Maximum standard deductible | $615[1] |
| Out-of-pocket cap | $2,100[1] |
| Cost after reaching the cap | $0 for covered drugs[1] |
Many plans charge less than the standard design, so your actual costs may be lower.
A rough example. Trulicity’s list price is $987.19 per four-week box.[7] If your plan has the full $615 deductible and then charges 25% coinsurance on a price near list, you would pay about $708 for the first box and roughly $247 for each box after that. You would reach the $2,100 cap within about seven months, then pay $0 for the rest of the year. Your plan’s negotiated price and cost sharing will change these numbers.
Spreading the cost. The Medicare Prescription Payment Plan lets you pay your Part D drug costs in monthly bills spread over the rest of the year instead of at the pharmacy. It does not lower the total, and joining early in the year works best. Ask your plan to enroll.[8]
Extra Help (low-income subsidy)
Extra Help lowers Part D premiums, deductibles and copays for people with limited income and resources.[3]
| Extra Help (2026 limits) | Individual | Married couple |
|---|---|---|
| Income limit | $23,940 | $32,460 |
| Resource limit | $18,090 | $36,100 |
Source: Medicare.gov.[3] For 2027, Medicare.gov lists Extra Help copays of up to $5.80 per generic and $14.40 per brand-name drug, so Trulicity would cost at most $14.40 a fill.[3] You qualify automatically if you have full Medicaid, a Medicare Savings Program or SSI; otherwise apply through Social Security.[3]
What doesn’t work with Medicare
- Trulicity Savings Card: not available to anyone enrolled in Medicare, Part D or Medicare Advantage.[5]
- Medicare GLP-1 Bridge: this $50-a-month program covers only Wegovy, Zepbound KwikPen and Foundayo for weight management. People with type 2 diabetes are not eligible; they get GLP-1 coverage through their regular Part D plan.[4] For how the Bridge works for a weight-loss pill, see our Foundayo cost guide.
If your plan doesn’t cover Trulicity
Formularies change every January, and a plan can move Trulicity to a higher tier or drop it in favor of another GLP-1. If that happens:
- Ask for a formulary exception. Your prescriber can ask the plan to cover Trulicity anyway, with a statement explaining why you need it rather than the plan’s preferred drug.
- Ask for a tiering exception if Trulicity is covered but on an expensive tier.
- Appeal a denial. The plan’s denial letter explains how to appeal and the deadlines.
- Switch plans at open enrollment. Use the Plan Finder to compare total yearly costs with Trulicity entered as one of your drugs.
Medicare Advantage plans with drug coverage follow the same Part D rules, including the $2,100 cap, but each sets its own formulary and copays.[1]
Lilly Cares for Part D enrollees
The Lilly Cares Foundation lists Trulicity among medicines it provides free to people with Medicare Part D whose household income is at or below 300% of the federal poverty level.[6] For Part D enrollees, approval generally lasts until the end of the calendar year, then you reapply.[6]
Trulicity and Medicare price negotiation
On January 27, 2026, CMS selected Trulicity as one of 15 drugs for the third cycle of the Medicare Drug Price Negotiation Program.[2]
| Milestone | Date |
|---|---|
| Trulicity selected | January 27, 2026[2] |
| Negotiation period ends | November 1, 2026[2] |
| CMS publishes agreed prices | By November 30, 2026[2] |
| Negotiated price takes effect | January 1, 2028[2] |
As of mid-October 2026, the negotiated price for Trulicity had not been published. For comparison, the earlier round set semaglutide (Ozempic, Rybelsus, Wegovy) at $274 for a 30-day supply starting January 1, 2027, a 71% discount from its 2024 list price.[10] A lower negotiated price can reduce what you pay when your plan charges coinsurance.
Ways to lower your cost
- Compare plans during open enrollment (October 15 to December 7). Formularies and tiers change every year.
- Ask for a 90-day supply if your plan offers lower mail-order cost sharing.
- Apply for Extra Help if you might qualify.[3]
- Ask your prescriber about alternatives if your plan prefers a different GLP-1.
For costs outside Medicare, see Trulicity cost without insurance. To compare Trulicity with Ozempic, read dulaglutide vs semaglutide.
