Trulicity costs $987 to $1,400 for a 28 day supply in 2026
Trulicity costs about $987 for a 28 day supply of four weekly pens at Eli Lilly's list price in 2026, but the cash price at most retail pharmacies is $1,300 to $1,400, which is about $350 a pen. Noom's 2026 pharmacy checks found Costco at about $1,094, Walmart $1,060 and Target $996. Almost nobody pays that. With commercial insurance and the Trulicity Savings Card, 92 percent of patients pay $0 to $30 a month. About 70 percent of Medicare Part D patients pay $0 to $100 and the rest average about $207. All doses cost the same. There is no generic until about 2027.
What price guides say
We checked 4 price guides and read every number on their pages on October 7, 2026. They do not all measure the same thing, so read each line for what it counts.
| Source | What it found |
|---|---|
| SingleCare | SingleCare lists an average cash price of $1,394 for a 28 day supply, and discount card prices from $758 to $861 by dose. |
| Noom | Noom lists the list price at about $987 a month, Costco at $1,094, Walmart at $1,060 and Target at $996.40, with 92 percent of insured people paying $30 or less. |
| CanAmerica Plus | CanAmerica Plus lists the list price at $987, typical retail at $1,300 to $1,400 and discount cards near $825 to $950. |
| PandaMeds | PandaMeds lists $987 a month at list price, with 92 percent of patients paying $0 to $30 with the Lilly savings card. |
What pushes the price up
| What | Why it matters |
|---|---|
| Insurance | Most commercial plans cover Trulicity for type 2 diabetes, and the savings card takes the copay to $0 to $30. It is not covered for weight loss alone. |
| Medicare | Covered for diabetes. About 70 percent pay $0 to $100 a month, and the 2026 Part D cap is $2,100 for the year. Extra Help patients pay $4 to $9. |
| The pharmacy | Target and Walmart run near list. Chain drugstores run $1,300 and up for the same box. |
| Discount cards | GoodRx and SingleCare bring the cash price to about $900 to $1,000. |
| Lilly Cares | Uninsured patients under the income limit can get Trulicity free from Lilly's assistance program. |
What the price includes
The price covers four prefilled single use pens, one injection a week. Needles are built in. Doctor visits and A1C tests are separate. It does not include tax or extras the provider adds on the day.
Does insurance cover it
Most commercial plans and Medicare Part D cover Trulicity for type 2 diabetes. Noom lists 92 percent of insured people paying $30 or less a month, and about 70 percent of Medicare Part D patients paying $0 to $100. People with Extra Help may pay $4 to $9. The Lilly savings card is for commercial insurance. Lilly Cares may give the drug free to some people who qualify by income. Plans can change what they cover each year, so call your plan and ask about the cost per fill.
How to judge your quote
- Ask your plan if Trulicity is on its drug list and if it needs approval.
- Ask what you owe per fill after insurance.
- Ask the pharmacy for the cash price and compare two or three stores.
- Ask about the maker's savings card if you have commercial insurance.
- Compare the total with the range above: $987 to $1,400 per 28 day supply for most people in 2026.
Ways to pay less
- Download the Trulicity Savings Card before your first fill if you have commercial insurance. It is free and most people pay under $30.
- Apply to Lilly Cares if you have no insurance. Household income under about 400 percent of the poverty line qualifies.
- Ask your doctor about Mounjaro or Ozempic. Same cost tier, but your plan may prefer one of them.
- Compare Target, Walmart and Costco. The gap to a chain drugstore is $300 a month.
How we got these numbers
The range on this page comes from SingleCare, Noom, CanAmerica Plus and PandaMeds. We opened each source page and read every number on it on October 7, 2026. Where the sources disagree, the table above shows each one so you can see the spread. These are planning ranges, not quotes. The written price you are given is the real price.
Common questions
How much does Trulicity cost a month?
Noom lists the list price at about $987 a month. CanAmerica Plus lists typical retail at $1,300 to $1,400.
Is Trulicity worth it?
For type 2 diabetes it can lower blood sugar with one shot a week. Your doctor can say if it fits your needs.
How long is one fill?
One fill is a 28 day supply of four weekly pens.
Can I pay less?
Yes. PandaMeds lists 92 percent of patients paying $0 to $30 with the Lilly savings card. Discount cards can also help.