Does Medicare Part D cover Trulicity?
Coverage, cost, and 2026 details for Trulicity (dulaglutide) under Medicare Part D.
Quick answer: Yes, Trulicity is generally covered by Medicare Part D plans, typically on Tier 3 (preferred brand). Coverage details, copays, and restrictions vary by plan, so compare plans available in your area to find the best coverage for your medications.
What is Trulicity?
Trulicity (dulaglutide) is a once-weekly injection used to lower blood sugar in adults with type 2 diabetes. Like Ozempic, it's a GLP-1 receptor agonist. Trulicity is also approved to reduce the risk of major cardiovascular events in adults with type 2 diabetes who have heart disease or risk factors for it.
Is Trulicity covered by Medicare Part D?
Most Medicare Part D plans cover Trulicity for type 2 diabetes. It typically appears on Tier 3 (preferred brand) of formularies. Some plans require prior authorization or step therapy — meaning you may need to try a less expensive medication first.
Typical formulary tier
Trulicity is most often listed on Tier 3 (preferred brand) of Part D formularies. The exact tier — and the copay — depends on the specific plan you're enrolled in.
How much does Trulicity cost with Medicare Part D?
Without insurance, Trulicity costs around $1,000 per month at retail pharmacies. With Medicare Part D coverage, you typically pay $30 to $400 per month before reaching the $2,100 cap.
Your actual cost depends on:
- Your plan's deductible — up to $615 in 2026
- The tier Trulicity is on in your plan's formulary
- Whether you've reached the $2,100 annual out-of-pocket cap
- Whether you qualify for Extra Help (Low-Income Subsidy)
- Whether you've enrolled in the Medicare Prescription Payment Plan (M3P), which spreads costs across the year
How to lower your Trulicity costs
1. Compare Part D plans for your specific drugs
The same drug can cost dramatically different amounts on different plans. During the Annual Enrollment Period (October 15 – December 7), use the Medicare.gov Plan Finder to compare what Trulicity would cost across every plan available in your ZIP code.
2. Check if you qualify for Extra Help
If your income is below approximately $23,475 (single) or $31,725 (married couple) in 2026, you likely qualify for Extra Help, which dramatically reduces what you pay for Trulicity and all your medications. Learn about Extra Help →
3. Use the Medicare Prescription Payment Plan (M3P)
M3P doesn't lower your total cost, but it spreads your annual out-of-pocket costs into monthly installments — which can help if Trulicity causes a big upfront pharmacy bill. Learn about M3P →
4. Look into Patient Assistance Programs
Eli Lilly may offer a Patient Assistance Program for people with limited income who don't qualify for Extra Help. These programs can provide free or deeply discounted medication directly from the manufacturer. Learn more about manufacturer programs →
5. Ask about alternatives
Talk to your doctor about whether a different medication — including a generic version or a similar drug in the same class — would work for you.
Alternatives to Trulicity
Other medications used for type 2 diabetes include:
- Ozempic (semaglutide)
- Mounjaro (tirzepatide)
- Victoza (liraglutide)
- Bydureon (exenatide)
Always discuss any medication change with your prescribing doctor.
Key facts about Trulicity on Medicare
- Covered by most Medicare Part D plans for type 2 diabetes
- Often requires prior authorization or step therapy
- Manufacturer Eli Lilly offers a Patient Assistance Program for those who qualify
Frequently asked questions about Trulicity on Medicare
Does Medicare cover Trulicity?
Yes, Trulicity is generally covered by Medicare Part D plans, most often on Tier 3 (preferred brand). Coverage and costs vary between plans, so compare plans available in your area. Some plans require prior authorization.
How much does Trulicity cost on Medicare Part D?
Costs typically range from $30 to $400 per month before reaching the $2,100 cap. Your actual cost depends on your plan's deductible, the tier Trulicity is on, and whether you've reached the $2,100 annual out-of-pocket cap.
Is there a generic version of Trulicity?
No, there is no generic version of Trulicity currently available. Patent expirations and FDA approvals will eventually allow generics, but the timing varies. Talk to your doctor about other medications in the same class that may have generic options.
What if my Part D plan doesn't cover this drug?
You have several options: (1) Switch to a different Part D plan during Annual Enrollment that covers Trulicity, (2) Request a formulary exception from your current plan with your prescriber's support, (3) Ask your doctor about a covered alternative medication, or (4) Look into the manufacturer's Patient Assistance Program if you have limited income.
Compare your Part D options
Coverage and costs for this drug vary significantly between plans. Compare your options:
You can also visit Medicare.gov or call 1-800-MEDICARE