If you are living with type 2 diabetes, you may have heard of Trulicity – a popular medication prescribed to control blood sugar levels. However, the cost of Trulicity can be a concern for those who have health insurance. In this article, we will explore everything you need to know about Trulicity cost with insurance, including factors that determine the cost, insurance coverage, and cost-saving tips.
What is Trulicity?
Trulicity is a once-weekly glucagon-like peptide-1 (GLP-1) receptor agonist medication used to treat type 2 diabetes. It works by stimulating the release of insulin from the pancreas, which helps to regulate blood sugar levels. The active ingredient in Trulicity is Dulaglutide.
Trulicity is typically prescribed along with a healthy diet and exercise to help manage blood sugar levels in patients with type 2 diabetes. It is not intended for patients with type 1 diabetes or diabetic ketoacidosis. Trulicity is available in doses of 0.75 mg and 1.5 mg.
Factors that Determine the Cost of Trulicity with Insurance
The cost of Trulicity with insurance can vary depending on several factors, including:
Factors |
Description |
Insurance plan |
The type of insurance plan you have can affect the cost of Trulicity. Some plans cover more of the cost than others. |
Deductible |
If you have not met your insurance plan deductible, you may be responsible for the full cost of Trulicity until you reach your deductible limit. |
Copay or coinsurance |
Your insurance plan may require you to pay a copay or coinsurance for Trulicity. This is a percentage or fixed amount you pay for each prescription fill. |
Prescription coverage |
Some insurance plans have different levels of coverage for prescription drugs. Trulicity may be in a higher tier, which can affect your out-of-pocket costs. |
Pharmacy |
The cost of Trulicity can vary depending on the pharmacy you use. Some pharmacies may offer better discounts or promotions. |
Does Insurance Cover Trulicity?
Most health insurance plans cover Trulicity, but the amount of coverage can vary depending on the plan. Some insurance plans have a formulary, which is a list of prescription drugs covered by the plan. Trulicity may be included in the formulary, but the level of coverage can vary.
Additionally, some insurance plans require prior authorization before covering Trulicity. This means your doctor will need to provide medical documentation to the insurance company to show that Trulicity is medically necessary for your treatment.
How Much Does Trulicity Cost with Insurance?
The cost of Trulicity with insurance can vary depending on the factors listed above. According to GoodRx, the average cost of Trulicity without insurance is $802.19 per month. However, with insurance, you may pay anywhere from $25 to $80 per month for Trulicity, depending on your insurance plan and coverage level.
Your out-of-pocket cost will depend on your specific insurance plan’s coverage and the pharmacy you use. You can check with your insurance company or pharmacy to find out how much you can expect to pay for Trulicity with insurance.
Cost-Saving Tips for Trulicity with Insurance
If the cost of Trulicity with insurance is a concern for you, there are several ways to save money, including:
- Ask your doctor if there are any alternative medications that may be cheaper but still effective in managing your blood sugar.
- Check with your insurance company to see if they offer a mail-order pharmacy option. This can be a cheaper way to get your prescriptions filled.
- Look for Trulicity coupons or discounts on the manufacturer’s website or other coupon websites.
- Compare prices at different pharmacies to find the best deal.
- Consider joining a prescription discount program like GoodRx to access discounted prices on Trulicity.
Frequently Asked Questions (FAQs)
1. What is the cost of Trulicity without insurance?
According to GoodRx, the average cost of Trulicity without insurance is $802.19 per month.
2. How much does Trulicity cost with insurance?
The cost of Trulicity with insurance can vary depending on your insurance plan and coverage level. You can check with your insurance company or pharmacy to find out how much you can expect to pay for Trulicity with insurance.
3. Does insurance cover Trulicity?
Most health insurance plans cover Trulicity, but the amount of coverage can vary depending on the plan. Some plans require prior authorization before covering Trulicity.
4. What are some cost-saving tips for Trulicity with insurance?
You can save money on Trulicity with insurance by asking your doctor about alternative medications, using a mail-order pharmacy, looking for coupons or discounts, comparing prices at different pharmacies, and joining a prescription discount program like GoodRx.
5. Can Trulicity be used for type 1 diabetes?
No, Trulicity is only approved for use in patients with type 2 diabetes.
Conclusion
Trulicity is a popular medication used to manage blood sugar levels in patients with type 2 diabetes. The cost of Trulicity with insurance can vary depending on several factors, but most insurance plans cover the medication. To save money on Trulicity, consider asking your doctor about alternative medications, using a mail-order pharmacy, looking for coupons or discounts, comparing prices at different pharmacies, and joining a prescription discount program.
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