Trulicity (dulaglutide) remains one of the most commonly prescribed once-weekly GLP-1 injections for adults with type 2 diabetes who need stronger blood sugar control beyond diet, exercise, and oral medications. The convenience of a single shot per week, combined with reliable HbA1c lowering and modest weight-loss effects, keeps it popular even as newer dual-agonist options enter the market. For many patients, especially those paying cash or facing high deductibles, the actual price at the pharmacy counter becomes a deciding factor in whether they can continue treatment long-term.
Walmart pharmacies have earned a reputation for offering some of the lowest cash prices on many brand-name medications, including Trulicity, particularly when patients use no insurance or discount cards. In 2025–2026 the cash price at Walmart typically falls in a narrower and often lower range than at many chain or independent pharmacies, making it a frequent first stop for people shopping for the best deal. Savings can be substantial, but exact amounts still vary by location, dose strength, and whether additional coupons are applied.
Knowing the current Walmart price—and how it compares with other options—helps you budget realistically and avoid overpaying. This article provides up-to-date 2025–2026 cash pricing at Walmart, explains what influences the final amount you pay, outlines legitimate ways to reduce costs further, and highlights important considerations so you can fill your prescription confidently.
Trulicity Price Without Insurance at Walmart in 2025–2026
As of mid-2025 through 2026, the cash price for a 28-day supply (one carton of four prefilled pens) of Trulicity at Walmart pharmacies typically ranges from $795 to $925 for any dose strength (0.75 mg, 1.5 mg, 3.0 mg, or 4.5 mg). This is noticeably lower than the full list price (WAC ≈ $977–$1,069) and often beats the cash price at many other major chains when no coupons are applied.
Walmart does not require membership for pharmacy purchases in most states, so the quoted cash price is available to everyone. Prices can vary slightly by ZIP code due to local competition, state taxes, and dispensing fees, but they remain among the most consistent and competitive nationwide for cash-paying customers.
The uniform pricing across all four strengths simplifies budgeting—no extra charge for moving from 1.5 mg to 3.0 mg or 4.5 mg. Always ask for the “cash price” or “discount price” at checkout rather than letting the pharmacy run it through insurance first.
Why Walmart Often Has Lower Trulicity Cash Prices
Walmart negotiates aggressively with wholesalers and maintains a high-volume pharmacy business model that allows lower margins on brand-name drugs. Their strategy focuses on drawing customers into stores for other purchases, so they price prescriptions competitively even without insurance.
Many other large chains add higher dispensing fees or markup brand-name injectables more aggressively when no insurance claim is submitted. Walmart’s transparent cash pricing and frequent alignment with discount-card rates make it a reliable low-cost option for Trulicity.
Independent pharmacies sometimes match or beat Walmart’s price in certain regions, but consistency is harder to find. Calling 2–3 local pharmacies and asking for the cash price remains worthwhile, though Walmart is frequently the baseline to beat.
Trulicity Price Without Insurance – Dose-by-Dose at Walmart
All Trulicity strengths carry the same cash price at Walmart because Eli Lilly sets identical WAC pricing per carton regardless of the delivered dose. In 2025–2026 you can expect:
- 0.75 mg (starter dose): $795–$925 per 4-pen carton
- 1.5 mg (most common maintenance): $795–$925
- 3.0 mg: $795–$925
- 4.5 mg (highest approved dose): $795–$925
The price does not increase when your doctor escalates the dose, which is a significant advantage over medications that charge more for higher strengths. This consistency makes long-term budgeting straightforward.
Prices reflect national averages; some Walmart locations in high-competition areas may dip slightly below $800 during promotions, while others in less competitive regions may sit closer to $925. Always confirm the exact price at your local store on the day you fill.
Using Discount Cards at Walmart for Even Lower Prices
GoodRx, SingleCare, RxSaver, and similar platforms regularly list Trulicity cash prices at Walmart in the $780–$920 range, sometimes undercutting the store’s standard cash price by $20–$100. These coupons are free, require no enrollment, and can be shown on your phone or printed.
Walmart pharmacies accept most major discount cards without issue. In practice, the lowest coupon price often matches or slightly beats Walmart’s own cash price, so presenting a coupon at checkout is almost always worth trying.
LillyDirect (Eli Lilly’s direct-to-patient program) sometimes offers prices in the $850–$950 range with free home delivery, but Walmart’s in-store cash price is frequently lower when combined with a discount card. Compare both options for your location.
Comparison of Trulicity Cash Prices at Major Retailers (2025–2026 Estimates)
Here is a side-by-side look at typical cash prices for a 28-day supply (four pens) without insurance across major retailers:
| Retailer / Source | Typical Cash Price Range (per month) | With GoodRx/SingleCare Coupon | Membership Required? | Price Stability | Delivery Option? | Notes / Best Use Case |
|---|---|---|---|---|---|---|
| Walmart | $795 – $925 | $780 – $900 | No | Very stable | No | Reliable low baseline cash price |
| Costco Pharmacy | $800 – $880 | $780 – $860 | Usually not for pharmacy | Very stable | No | Often lowest consistent cash price |
| Sam’s Club Pharmacy | $810 – $890 | $790 – $870 | Usually not for pharmacy | Very stable | No | Similar to Costco; check local |
| CVS / Walgreens (standard cash) | $950 – $1,050 | $850 – $950 | No | Moderate | Sometimes | Higher base price; coupons help a lot |
| LillyDirect (direct purchase) | $850 – $950 | Not applicable | No | Relatively stable | Yes (free) | Convenient delivery; often higher than Walmart |
| Independent / Regional Pharmacies | $850 – $1,000 | $800 – $950 | No | Variable | Rarely | Can occasionally beat chains; call ahead |
Prices are approximate national averages and vary by ZIP code, current promotions, and pharmacy policy. Always verify on the day of pickup.
Additional Ways to Lower Your Monthly Trulicity Cost
Ask your doctor for samples—many endocrinologists and primary-care offices receive free starter cartons from Eli Lilly representatives. A few months of samples can significantly reduce early costs while you arrange a lower ongoing cash price.
Check whether your employer or union offers a prescription discount program through a third-party vendor. These programs sometimes negotiate rates lower than public discount cards.
Look into state-specific or charitable assistance programs for uninsured or underinsured patients with diabetes. Organizations such as NeedyMeds, RxAssist, and the Partnership for Prescription Assistance maintain updated lists of foundations that occasionally help with GLP-1 costs for qualifying individuals.
If you have a high-deductible health plan, consider using a flexible spending account (FSA) or health savings account (HSA) to pay for Trulicity. These tax-advantaged accounts effectively reduce the net cost by 20–40% depending on your tax bracket.
Realistic Expectations for Monthly Costs Over Time
Most cash-paying patients who use discount cards or shop at Walmart/Costco pay $800–$950 consistently per month in 2025–2026. Over a full year that equals $9,600–$11,400 out of pocket without any insurance contribution.
If you later gain commercial insurance and qualify for the Lilly Savings Card, the cost drops to $25 per month (maximum $150 savings per fill, up to 12 fills per year), reducing the annual total to $300 plus any deductible or copay phase expenses.
For Medicare beneficiaries, coverage is limited. Some Medicare Advantage plans include modest Part D prescription drug benefits that partially cover Trulicity, but out-of-pocket costs can still reach several thousand dollars annually until catastrophic coverage begins.
Summary
Without insurance, Trulicity costs $795–$925 per month (four-pen carton) at Walmart in 2025–2026, with most cash-paying patients able to reduce that to $780–$900 using GoodRx, SingleCare, or similar discount cards. All dose strengths carry the same price, so escalating from 1.5 mg to 3.0 mg or 4.5 mg does not increase the monthly cash amount. Costco and Sam’s Club pharmacies often match or slightly undercut Walmart’s price, while LillyDirect provides a reliable $850–$950 option with free home delivery.
Shopping around, using free discount coupons, asking for samples, and exploring tax-advantaged accounts are the most practical ways to lower the out-of-pocket expense. For many patients the combination of improved blood sugar control, modest weight loss, and cardiovascular risk reduction justifies the investment when lower-cost alternatives are insufficient. Always confirm current pricing at your local pharmacy and explore every legitimate discount before paying full retail.
FAQ
How much does Trulicity cost per month without insurance at Walmart in 2025–2026?
The cash price at Walmart typically ranges from $795 to $925 for a 28-day supply (four pens) of any dose strength. Using GoodRx or SingleCare coupons often lowers it to $780–$900 at participating Walmart locations.
Do all Trulicity doses cost the same at Walmart without insurance?
Yes—Eli Lilly sets the same wholesale price for every pen strength (0.75 mg, 1.5 mg, 3.0 mg, 4.5 mg). The monthly cash cost at Walmart remains consistent regardless of which dose you are prescribed.
Is Costco cheaper than Walmart for Trulicity cash price?
Costco pharmacies frequently offer some of the lowest cash prices ($800–$880 per month) even without a membership in most states. Prices are very stable and often beat Walmart and GoodRx at many locations. Call your local Costco pharmacy for a current quote.
Can I use GoodRx or SingleCare at Walmart for Trulicity?
Yes—Walmart pharmacies accept GoodRx, SingleCare, RxSaver, and most major discount cards. Presenting the coupon at checkout often reduces the price to $780–$900 per month, sometimes lower than Walmart’s standard cash price.
Does LillyDirect offer a better cash price than Walmart?
LillyDirect typically prices Trulicity at $850–$950 per month with free home delivery, which is usually higher than Walmart’s cash price ($795–$925) or Walmart with a discount card ($780–$900). Use LillyDirect mainly for convenience if local prices are significantly higher.
Are there any legitimate ways to get Trulicity below $780 per month without insurance?
Occasional pharmacy promotions or regional discounts can dip below $780 briefly, but $780–$900 is the realistic sustained cash-pay range in 2025–2026 using the best available coupons at Walmart or Costco. Samples from your doctor can provide free pens for a few months while you arrange ongoing savings.
Will moving to a higher dose of Trulicity increase my monthly cost at Walmart without insurance?
No—the cash price per carton is the same for all strengths at Walmart. Switching from 1.5 mg to 3.0 mg or 4.5 mg does not raise the monthly out-of-pocket amount when paying cash.
Dr. Hamza is a medical content reviewer with over 12+ years of experience in healthcare research and patient education. He specializes in evidence-based health information, medications, and chronic conditions. His reviews are grounded in trusted medical sources and current clinical guidelines to ensure accuracy, transparency, and reliability. Content reviewed by Dr. Hamza is intended for educational purposes and is not a substitute for professional medical advice.