Trulicity (dulaglutide) lists at about $987 per month, and retail cash prices at major chains run $864-$1,094. Eli Lilly's official coupon — the Trulicity Savings Card — is genuinely good if you qualify, but it has hard caps, a calendar-year expiration, and a commercial-insurance wall that locks out Medicare, Medicaid, and cash payers entirely.
Direct answer: With the Trulicity Savings Card, eligible commercially insured patients pay as little as $25 for up to a 3-month prescription, with maximum savings of $150 per 1-month fill, $300 per 2-month fill, or $450 per 3-month fill, a $1,950 annual cap, and a maximum of 13 fills per calendar year. The card expires 12/31/2026. Without commercial insurance, your floor is a GoodRx coupon from $951.97 — there is no Trulicity generic, and because dulaglutide is a biologic, the first copies (biosimilars) cannot arrive until after its compound patent expires in 2027.
Trulicity is FDA approved for type 2 diabetes — the card applies to that approved use, not off-label weight loss. For the drug itself (dosing, results, side effects), see our Trulicity guide.
Trulicity Savings Card: Official 2026 Terms
From Lilly's savings page, the current structure:
| Fill length | You pay | Maximum savings per fill |
|---|---|---|
| 1-month prescription | As little as $25 | $150 |
| 2-month prescription | As little as $25 | $300 |
| 3-month prescription | As little as $25 | $450 |
On top of the per-fill caps: $1,950 maximum savings per calendar year, up to 13 fills per year, and the card expires and savings end on 12/31/2026 (Lilly typically reissues annually, but reserves "sole discretion" to terminate or amend at any time without notice).
The cap math matters. The card only gets you to $25 if your plan covers Trulicity and your copay is $175/month or less. A $400/month copay minus the $150 cap still leaves you paying $250. And a high-deductible plan member paying near-full price early in the year will exhaust the $1,950 annual cap in about two fills.
Who Qualifies for the Trulicity Savings Card
Lilly's eligibility terms:
- Commercial drug insurance that covers Trulicity is required — the card is a copay offset, not a discount off cash price.
- Government programs are excluded: Medicare, Medicare Part D, Medicaid, TRICARE, and "any state prescription drug assistance program."
- Age 18 or older, resident of the US or Puerto Rico.
- Not valid for Massachusetts residents if an AB-rated generic equivalent is available (not currently the case).
- Cannot be combined with other discounts, and the card is not insurance.
- Enrollment: download the activated digital card at trulicity.lilly.com, or call the program at 1-866-923-1953.
Per Lilly's own data, 92% of commercially insured patients pay $30 or less per month once the card is applied; the remaining 8% average $239.
Trulicity Cost Without Insurance
| Pharmacy | Cash price (4-pen carton, 28 days) |
|---|---|
| Walgreens / Rite Aid | $863.85 |
| Target / CVS | $996.40 |
| Walmart | $1,060 |
| Costco | $1,094 |
List price is about $987/month regardless of dose — a 4-pen carton lasts 28 days whether it is 0.75 mg or 4.5 mg pens. GoodRx coupons bring this down moderately:
| Dose (4-pen carton) | Average retail | GoodRx price |
|---|---|---|
| 0.75 mg/0.5 mL | — | $1,024.04 |
| 1.5 mg/0.5 mL | $1,112.69 | $992.51 |
| 3 mg/0.5 mL | $1,112.69 | $965.90 |
| 4.5 mg/0.5 mL | $1,112.69 | $965.58 |
GoodRx's lowest advertised Trulicity price is $951.97 — roughly $150 off retail, still painful. Our GLP-1 cost guide puts these numbers in context across the whole class.
No insurance, or your plan won't cover Trulicity? Yücca telehealth — online evaluation, doctor-prescribed compounded Semaglutide+ or Tirzepatide+ filled by a licensed US pharmacy, from $146/month. (Partner link: we may earn a commission, at no extra cost to you.)
Is There a Trulicity Generic?
No — and there will not be a "generic" in the usual sense at all. Dulaglutide is a biologic, so copies must come through the FDA's biosimilar pathway, which is slower and more expensive than small-molecule generics. Trulicity's compound patent runs until 2027; only after that can biosimilar competition begin, and biosimilars typically take additional years from patent expiry to pharmacy shelves. Anything marketed as "generic Trulicity" today is not a regulated equivalent.
Is Switching to a Newer GLP-1 Cheaper?
Often, yes — especially if you are paying cash. Trulicity is the only major GLP-1 left with no manufacturer self-pay program:
- Ozempic (semaglutide) — Novo now sells it direct to cash payers at $349/month for most strengths ($499 for 2 mg). That beats every cash Trulicity price by ~$500+/month, and semaglutide also outperformed dulaglutide on A1C and weight in head-to-head trials.
- Rybelsus (oral semaglutide) — same $25-style commercial savings card structure (capped at $100/month), if you prefer a pill and have commercial coverage.
- Compounded GLP-1s — typically $146-$300/month through licensed pharmacies via telehealth.
If you have commercial insurance that covers Trulicity, the $25 card is excellent and there is little financial reason to switch. If you are cash-pay or on Medicare, the savings card door is closed and the newer drugs' direct-pay channels win on price. Full rankings in our cheapest GLP-1 comparison and the master list of GLP-1 drug coupons and savings programs.
Frequently Asked Questions
How much is Trulicity with the savings card? As little as $25 per month (or per 3-month fill) if you have commercial insurance that covers it. Lilly says 92% of insured users pay $30 or less. Savings are capped at $150/month and $1,950/calendar year.
Can I use the Trulicity coupon with Medicare or Medicaid? No. The card excludes all government-funded programs — Medicare, Medicare Part D, Medicaid, TRICARE, and state assistance programs. This is a federal anti-kickback rule, not a Lilly choice, and it applies to every manufacturer copay card.
What does Trulicity cost without insurance? List price is about $987/month; retail cash prices run $864-$1,094 depending on pharmacy. GoodRx coupons start at $951.97 for a 4-pen carton.
When will generic Trulicity be available? Not before its compound patent expires in 2027, and as a biologic it will get biosimilars rather than true generics — realistically several more years after that. No biosimilar dulaglutide is FDA approved today.
Does the Trulicity savings card expire? Yes — the current card expires 12/31/2026 with a 13-fill annual maximum. Lilly has historically renewed it each January, but terms can change.
Last reviewed: June 13, 2026
Sources
- Trulicity Savings Card, Cost and Resources — Eli Lilly
- Trulicity Prices, Coupons & Savings Tips — GoodRx
- Trulicity Costs in 2026: With and Without Insurance — Noom
- Top drug patent expirations in the next 5 years — Proclinical
- Novo Nordisk launches introductory self-pay offer for Wegovy and Ozempic — PR Newswire
- Diabetes Savings Card Program — NovoCare
References
- U.S. Food and Drug Administration. TRULICITY (dulaglutide) injection — Prescribing Information. (Dulaglutide approved for type 2 diabetes; once-weekly subcutaneous biologic; Initial U.S. Approval 2014.)
- Collins L, Costello RA. Glucagon-Like Peptide-1 Receptor Agonists. StatPearls, NCBI Bookshelf. (Dulaglutide as a GLP-1 receptor agonist for type 2 diabetes.)
