How to Help Your Patients Save Money on Trulicity: A Provider's Guide to Savings Programs

Trulicity (dulaglutide) has a retail price that can reach $1,300–$1,400 per month without insurance or savings programs. For patients who need this medication to manage their type 2 diabetes and protect their cardiovascular health, cost barriers can directly lead to non-adherence or therapy discontinuation. As a provider, knowing the available savings programs — and being able to counsel patients effectively — can dramatically improve affordability and outcomes.

Overview: Trulicity Pricing Reality Check

Understanding what your patients will actually pay is the foundation of effective savings counseling:

• List price (WAC): ~$987/month — the starting point before any discounts

• Average retail cash price: ~$1,297–$1,395/month for 4 pens

• With Trulicity Savings Card (commercially insured): As little as $25/month

• GoodRx coupon (anyone): ~$952–$1,018/month at participating pharmacies

• SingleCare coupon (anyone): Starting from ~$825/month at participating pharmacies

• Lilly Cares PAP (qualifying uninsured/Medicare): Potentially free

Program 1: The Trulicity Savings Card — For Commercially Insured Patients

The Trulicity Savings Card is the single most impactful savings program available, but it only helps commercially insured patients. As a provider, knowing which patients qualify — and routing them to the card — is one of the most valuable counseling interventions you can provide.

• Benefit: As little as $25/month for 1-, 2-, or 3-month fills (up to 12 pens)

• Maximum savings: Up to $150/month; maximum of $1,950 per calendar year

• Eligible: Commercial drug insurance with Trulicity coverage; U.S. resident age 18+; FDA-approved indication

• NOT eligible: Medicare, Medicaid, Medicare Part D, Medicare Advantage, TRICARE, VA, any government program

• How patients access it: trulicity.lilly.com/savings-resources or call 1-866-568-8942 or text START to 54559

Clinical tip: Consider printing the savings card URL or QR code on your prescribing instructions for commercially insured patients. This significantly reduces cost-related non-adherence.

Program 2: Lilly Cares Foundation Patient Assistance Program — For Uninsured/Low-Income

The Lilly Cares Foundation Patient Assistance Program (PAP) provides free Trulicity to qualifying patients. This is the primary resource for your patients who are uninsured, underinsured, or on Medicare Part D who cannot afford Trulicity.

• Income threshold: Household income ≤400% of the Federal Poverty Level (approximately $51,520 for a single person, $106,000 for a family of 4)

• Contact: 1-800-545-6962 or lillycares.com

• Delivery: Approved patients receive medication shipped to their home or provider's office at no cost

Provider tip: Many practices assign a medical assistant or care coordinator to help patients apply for PAP programs. The application requires physician certification of the diagnosis and prescription — build this into your standard workflow for uninsured patients starting expensive brand-name medications.

Program 3: Pharmacy Discount Cards — For Anyone, Including Medicare Patients

GoodRx and SingleCare discount cards are available to all patients regardless of insurance status. They are particularly valuable for your Medicare patients who cannot use the Lilly Savings Card. These are not insurance — they are negotiated pricing programs at participating pharmacies.

• GoodRx: goodrx.com — Trulicity from approximately $952–$1,018/month; no enrollment required

• SingleCare: singlecare.com — Trulicity from approximately $825/month; free to use

These should not be used simultaneously with the Lilly Savings Card or insurance, but are an excellent option when insurance doesn't cover Trulicity or when the patient is on Medicare.

Program 4: LillyDirect — Telehealth and Direct Pharmacy

Eli Lilly operates LillyDirect, a platform that connects patients with independent telehealth providers and a direct-to-patient pharmacy service. For patients who have difficulty accessing in-person care or who are dealing with local pharmacy shortages, LillyDirect may offer both clinical access and supply access simultaneously. Counsel patients that this is not a replacement for ongoing primary care management of their diabetes.

Program 5: Consider Lower-Cost GLP-1 Alternatives When Cost Is Prohibitive

When Trulicity remains unaffordable even with all savings programs, consider whether a GLP-1 alternative with better access or lower cost might be appropriate:

• Generic liraglutide (formerly Victoza): Daily injection; generic now available at substantially lower cost; proven cardiovascular outcomes data (LEADER trial).

• Rybelsus (oral semaglutide): Daily oral GLP-1 option; may have different formulary coverage than Trulicity.

Quick-Reference Counseling Guide for Providers

• Commercially insured patient: Lilly Savings Card → trulicity.lilly.com/savings-resources

• Uninsured/low-income: Lilly Cares Foundation → 1-800-545-6962 or lillycares.com

• Medicare Part D patient: GoodRx or SingleCare coupons; check Lilly Cares PAP eligibility

• Any cash-pay patient: Compare GoodRx (~$952-$1,018) and SingleCare (~$825); always compare before filling

Provider Bottom Line

Cost is one of the most common reasons patients stop taking Trulicity — and many of them never mention it. Building savings program counseling into your standard Trulicity prescribing workflow can dramatically improve adherence and outcomes. For patients struggling to find Trulicity in stock in addition to cost concerns, medfinder for providers can help locate pharmacies with stock near your patient. See also our patient-facing guide to saving money on Trulicity that you can share directly with patients.