Trulicity has become a go-to once-weekly injection for many adults with type 2 diabetes who need stronger blood sugar control beyond pills and lifestyle changes alone. The convenience of one shot per week, combined with solid HbA1c lowering and modest weight loss, makes it a favorite in clinics across the country. For a lot of patients, though, the biggest barrier isn’t the needle—it’s the price tag when insurance doesn’t cover enough or isn’t in place at all.
That’s where the official Trulicity Savings Card comes in. Offered directly by Eli Lilly, this program can drop the cost to as low as $25 for a 30-day supply (four pens) for eligible people with commercial (private) insurance. The card is simple to use, widely accepted, and has helped thousands of patients stay on treatment without the financial strain that leads many to skip doses or stop altogether.
Knowing exactly who qualifies, how much you can save, where the limits lie, and what to do if you don’t have commercial insurance gives you real power over the cost of staying healthy. This article walks through the current 2025–2026 savings card details, compares it with other ways to pay less, and shows you how to get and use it correctly so the medication stays affordable month after month.
How the Trulicity Savings Card Works
The Trulicity Savings Card is a manufacturer-sponsored copay assistance program for people who have commercial (employer-sponsored or marketplace/private) insurance. It reduces your out-of-pocket cost at the pharmacy to as little as $25 per prescription fill, with a maximum monthly savings of $150. The card is loaded with enough funds to provide up to $150 in savings per 30-day supply for 12 fills per calendar year.
You present the card (digital or printed) at the pharmacy counter along with your commercial insurance card. The pharmacist processes the claim through your insurance first, then applies the savings card to cover the remaining copay, coinsurance, or deductible up to the $150 limit per fill. If your copay is already $25 or less, the card may not apply additional savings.
The program does not work with government insurance plans—Medicare, Medicaid, VA, TRICARE, or any state/federal program. It is also unavailable to residents of Massachusetts and certain other restricted states due to state laws governing copay assistance.
Who Is Eligible for the Trulicity Savings Card
To qualify you must:
- Have commercial (private) prescription drug insurance (not Medicare, Medicaid, or any government plan)
- Be a resident of the United States or Puerto Rico
- Be 18 years of age or older
- Not be enrolled in or eligible for any state or federally funded medical or prescription program
The card is valid for up to 12 prescription fills per calendar year (resets January 1). After the 12th fill or when the maximum savings limit is reached, you pay the full copay/coinsurance amount set by your insurance plan.
Eligibility is checked automatically at the pharmacy when the card is presented—no separate application or income verification is required. If you lose commercial coverage mid-year, the card stops working immediately for future fills.
Current Savings Amounts and Limits (2025–2026)
For a standard 30-day supply (four pens):
- You pay: as little as $25 per fill
- Maximum savings applied by the card: $150 per fill
- If your copay/coinsurance is $175, the card covers $150 and you pay $25
- If your copay is already $20, the card does not apply additional savings—you pay $20
- Annual maximum savings: up to $1,800 (12 fills × $150)
The card does not reduce premiums, deductibles, or any other plan costs. It only applies to the copay or coinsurance for Trulicity itself after insurance pays its portion. Coverage resets each January 1, so you get a fresh 12 fills every calendar year.
How to Get and Activate the Trulicity Savings Card
The easiest way is to visit the official Trulicity website (trulicity.com) and click on the savings card section. You can download a digital version to your phone wallet or print a physical copy. No registration or personal information is required to obtain the card.
Your doctor’s office may hand you a physical card during a visit, or the pharmacy can often print one on the spot if you mention the savings program. Once you have the card, simply present it (digital or printed) with your commercial insurance card at any participating pharmacy.
Activation is automatic at the pharmacy counter—no separate step is needed. The pharmacist runs both cards, and the savings apply instantly if you meet eligibility rules. Keep the card handy for every refill.
Comparison of Ways to Pay Less for Trulicity (2025–2026)
Different options suit different insurance situations. Here’s a realistic comparison of out-of-pocket costs for a 30-day supply (four pens):
| Payment Method | Typical Monthly Cost (30-day supply) | Eligibility Requirements | Annual Max Savings / Fills | Reliable in 2025–2026? | Best For |
|---|---|---|---|---|---|
| Trulicity Savings Card | $25 (up to $150 savings per fill) | Commercial insurance only; no government plans | $1,800 (12 fills) | Yes | Commercially insured patients |
| Cash price at Walmart / Costco | $795 – $925 | No insurance needed | None | Yes | No commercial insurance |
| GoodRx / SingleCare / RxSaver coupon | $780 – $920 | No insurance or savings card needed | None | Yes | Quick savings at local pharmacies |
| LillyDirect cash-pay program | $850 – $950 | No insurance needed | None | Yes | Free home delivery convenience |
| Medicare Part D (various plans) | $300 – $1,200+ (varies by plan phase) | Medicare Part D enrollment | Depends on plan | Yes | Medicare beneficiaries |
| Patient Assistance Foundation programs | $0 – $500 (case-by-case) | Low income + no insurance or high copay | Varies | Limited availability | Financial hardship |
The savings card offers the lowest cost for eligible patients; cash prices at big-box pharmacies or with discount cards are the most reliable fallback.
Practical Tips to Get the Lowest Price Possible
Always present the Trulicity Savings Card if you have commercial insurance—many pharmacies forget to run it unless you remind them. Keep a digital copy in your phone wallet for every refill.
If you don’t have commercial coverage, compare cash prices at Walmart, Costco (pharmacy usually no membership required), Sam’s Club, and GoodRx-participating stores on the day you fill. Prices can differ by $50–$150 between locations.
Ask your doctor for samples—many endocrinologists and primary-care offices receive free Trulicity starter kits or full cartons from Eli Lilly representatives. A few months of samples can bridge the gap while you arrange a lower cash price.
Check whether your employer or union offers a separate prescription discount program through a third-party vendor. These sometimes negotiate rates below public discount cards.
If you have a high-deductible plan, ask your doctor about using a flexible spending account (FSA) or health savings account (HSA) for Trulicity. These tax-advantaged accounts effectively reduce the net cost by 20–40% depending on your tax bracket.
Summary
Without insurance, Trulicity costs $795–$925 per month at Walmart and similar big-box pharmacies in 2025–2026, with discount cards often lowering it to $780–$900. The official Trulicity Savings Card drops the price to $25 per fill (up to $150 savings per month, 12 fills per year) for patients with commercial insurance, making it one of the lowest-cost options when eligible. Medicare and other government-plan beneficiaries cannot use the savings card and usually pay several hundred to over $1,000 monthly depending on Part D plan phase and coverage.
The lowest reliable cash prices come from Walmart, Costco, Sam’s Club, or discount-card networks, while LillyDirect offers convenient home delivery at slightly higher rates. Asking for samples, comparing local pharmacies, and using tax-advantaged accounts further reduce the real cost. For many patients the combination of improved blood sugar control, modest weight loss, and cardiovascular risk reduction justifies the expense when lower-cost alternatives are not sufficient.
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.