Trulicity (dulaglutide, diabetes label)
$389 a month on the federal TrumpRx site. Lilly publishes no cash price of its own — only a copay card for the commercially insured.
- List price
- $987
- Medication
- brand
- Form
- injection
- Price checked
- 2026-09-22
RxNorm 1551296 for the product, 1551291 for the ingredient. The codes the US National Library of Medicine assigns, so this page names one specific thing rather than a brand that could mean several.
It carries a boxed warning — the strongest the FDA issues
In rats this molecule caused thyroid C-cell tumors. Whether it does so in people is unknown, and the label carries that as a boxed warning. It is contraindicated outright with a personal or family history of medullary thyroid carcinoma or MEN 2.
From FDA prescribing information for TRULICITY. Everything the label lists, including who cannot take it →
TrumpRx, the federal direct-purchase site, lists Trulicity at $389 a month for the single-dose pen against a $987.19 list price. Lilly itself publishes no self-pay price: its savings card offers 'as little as $25' for up to a 3-month prescription, capped at $1,950 a year and restricted to 13 fills through 31 December 2026, and only for people commercially insured with coverage for Trulicity.
What this page used to say
- 2026-09-11 — A drawback that no longer stood. Was: Lilly publishes no cash price at all, so nobody paying without insurance can find out what it costs before the counter. Now: Lilly publishes no cash price of its own; the $389 is the federal TrumpRx listing for the single-dose pen.
- 2026-09-11 — The date the label was published. Was: label published 2026-08-09. Now: label published 2026-08-10.
- 2026-09-08 — The date the label was published. Was: label published 2026-06-16. Now: label published 2026-08-09.
- 2026-09-07 — A published cash price, where this page said none existed. Was: no verified cash price is published. Now: $389 a month.
- 2026-09-05 — Rebuilt the serious reactions as the label's section 5, in the label's order. Was: Six items: acute pancreatitis, hypoglycemia, acute kidney injury, 'Severe gastrointestinal disease', diabetic retinopathy complications, pulmonary aspiration. Now: Eight, in label order: acute pancreatitis (5.2), hypoglycemia (5.3), hypersensitivity reactions (5.4), acute kidney injury (5.5), severe gastrointestinal reactions (5.6), diabetic retinopathy complications (5.7), acute gallbladder disease (5.8), pulmonary aspiration under anesthesia (5.9).
How this monthly figure is built
Federal direct-purchase price; the maker publishes no cash price of its own.
How much does Trulicity (dulaglutide, diabetes label) cost a month?
halfrx records Trulicity (dulaglutide, diabetes label) at $389 a month all-in, read on 2026-09-22 from TrumpRx, the federal direct-purchase site, because the maker publishes no cash price of its own. The figure that matters is $389 once titrated, because the starting dose is not the dose anyone stays on, and that is the number this site scores. It carries one flag on this site: boxed warning. It scores 3.7 out of 10 on a published formula that is arithmetic over the facts on this page, not an editor's opinion. The cheapest verified maintenance price on the site is $75, so this sits above the floor rather than at it. The medication is the branded, FDA-approved product rather than a compounded copy. The page rests on 3 cited sources, at least one of them a manufacturer, regulator or journal. Anything past 45 days without a re-check is marked stale here rather than quietly aging. Molecule: dulaglutide.
Tracked since 2026-09-07. The figure has not changed since, and was last re-read on 2026-09-22.
No clinician has reviewed this page. Label and trial statements are quoted from the FDA label or the trial cited beside them. General guidance is marked as such, and every price carries the date it was verified. That is sourcing, not medical review. What we do and do not check · Who checked the price
What is good about Trulicity?
What are the downsides of Trulicity?
- −Lilly publishes no cash price of its own; the $389 is the federal TrumpRx listing for the single-dose pen.[1]
- −The savings card excludes anyone on Medicare, Medicaid, TRICARE, VA or any state program, and caps Lilly's own contribution at $150 a month.[1]
- −Weight loss is off-label and smaller than the newer agents achieve; the label presents no weight-loss percentage.[1]
How this score is built
- 0.0/3.5Evidence — no weight-management trial figure recorded
- 3.0/3Approval — FDA approved for type 2 diabetes and cardiovascular risk reduction. Weight loss is off-label use.
- 0.6/2.5Cost — $389/mo at maintenance
- 0.1/1Caveats — −0.9: off-label for weight −0.4, boxed warning −0.5
Clinical evidence
FDA approved for type 2 diabetes and cardiovascular risk reduction. Weight loss is off-label use.
AWARD trials in type 2 diabetes. Weight change was a secondary endpoint and is smaller than in the obesity trials of the newer agents; halfrx quotes no percentage because the label does not present one as a weight-loss result.
How long Trulicity takes to work, and what each week costs →
What you can take instead of Trulicity, with each one's verified price →
What Trulicity costs with insurance
There is no single figure, and any page giving one is describing a plan that is not necessarily yours. What decides it is below, and every part of it is checkable.
- Trulicity Savings Card: As little as $25 for a 1-, 2- or 3-month fill Who it is for: Commercial drug insurance that covers Trulicity, and a prescription for an FDA-approved use. Lilly's own terms put it plainly: governmental beneficiaries excluded. The catch: Capped at $150 of savings a month and $1,950 a calendar year, across at most 13 fills. Those two ceilings meet to the dollar — $150 across 13 fills is exactly $1,950 — so whichever limit you count against, the card is spent after one year of monthly fills. A month here is 28 days and up to 4 pens, which is why 13 fills is a year rather than 12.
- It is closed to you if a government program pays for your care. Manufacturer copay cards exclude Medicare, Medicaid, TRICARE and VA beneficiaries by their own terms — a federal anti-kickback rule rather than a plan decision, so there is nothing to appeal. Which coupons you can actually use.
- The indication on the prescription. A plan that excludes weight-loss drugs excludes the use, not the molecule — and Trulicity is separately approved for glycemic control in type 2 diabetes, which that exclusion does not reach. What each drug is approved to treat.
- If the answer is no. The cash price is what remains, and it is on this page. Every verified route to the same drug is priced with the date each was read.
What Trulicity costs without insurance, and every route to the same drug →
The one program published for Trulicity, and what ends it →
What the label says goes wrong, and who cannot take it →
Maintenance dose 0.75 mg to 4.5 mg once weekly, reachable no earlier than week 1. The full schedule, and what each step costs →
Information only, not medical advice. Prices and terms change; the date above is when we last verified this one.
Everything on Trulicity
- Trulicity price and terms →
- Trulicity cost without insurance →
- Alternatives to Trulicity →
- Trulicity coupons and savings cards →
- Trulicity Savings Card →
- Trulicity side effects →
- Does Trulicity make you feel sick? →
- Does Trulicity cause diarrhea? →
- Does Trulicity make you throw up? →
- Does Trulicity cause stomach pain? →
- Does Trulicity take away your appetite? →
- Trulicity dose schedule →
- How to inject Trulicity →
- How long Trulicity takes to work →
- Which labels record what happens when you stop →
- Hair loss: which of the labels name it →
- Alcohol: what the labels say, and what they do not →