What Insurance Covers Trulicity Blue Cross Blue Shield
How much should I expect to pay for Trulicity®?
Prescription drug prices can be confusing. Two people may pay different prices for the same drug, depending on their insurance situation.
- The list price1 of is , but the amount you pay will largely depend on your insurance plan.
The information below will give you a good idea of what to expect based on your insurance situation and support that may be available to you.
For the most accurate information, talk to your insurance provider who knows the details of your plan.
Which Option Below Best Describes Your Insurance Situation?
About of prescriptions cost between , and the remaining cost an average of .2
What you pay for will depend on your insurance plan. Each plan has different preferred drug lists and out-of-pocket amounts, and most include an annual deductible. If you haven't met your deductible, you'll see higher prices until the deductible is met, then your out-of-pocket cost will likely drop.
With the Trulicity Savings Card, a one-month supply of Trulicity can cost as little as $25, subject to certain terms and maximums. Click here to learn more about the Trulicity Savings Card .
For personalized assistance on the most affordable options for you, please call the Lilly Diabetes Solution Center at (833) 808-1234.
For most patients with Medicare Part D coverage, out-of-pocket costs can vary throughout the year depending on which phase of the Part D benefit you are currently in. Overall, about of prescriptions cost between , and the remaining prescriptions cost an average of .2
Some Medicare patients qualify for extra financial support through the Extra Help3 program. If you are eligible for Extra Help, you can expect to pay for each prescription.4
If you are unsure whether you qualify for Extra Help and would like more information, please visit: https://www.ssa.gov/benefits/medicare/prescriptionhelp/ .
For most people on Medicaid, prescription drugs like range from .5 Some states allow even lower copays, or eliminate the copay requirement altogether.
To find out if you qualify for Medicaid, or for more information about copayments in your state, please visit: https://www.medicaid.gov/state-overviews/index.html .
If you do not have prescription medication insurance coverage, or if your insurance does not cover , you can expect to pay close to the list price shown above, plus any additional pharmacy charges depending on where you purchase your medicine.
If you are interested in obtaining insurance, there are resources available to help you:
- To find out if you qualify for Medicaid and for information about copayments in your state, please visit: https://www.medicaid.gov/state-overviews/index.html .
- To learn more about private individual policies via the Insurance Marketplace, please visit: https://mat.org/Health-Insurance-Resources .
See below for information regarding additional support services that may be available to you.
You may be eligible for savings at pharmacies nationwide through the Inside Rx select provider program. Inside Rx offers savings of up to 25% on Trulicity when you use your discount card and pay at the pharmacy. You can find full program details and obtain your card at https://insiderx.com/trulicity-pen/pricing .
For personalized assistance on the most affordable options for you, please call the Lilly Diabetes Solution Center at (833) 808-1234.
Want More Information?
For personalized assistance on the most affordable options for you, please call the Lilly Diabetes Solution Center at (833) 808-1234. Although we won't replace the advice of your healthcare provider, we'll do our best to find affordable options for you.
Need Another Option?
Lilly donates medicines to the Lilly Cares® Foundation, a separate nonprofit organization that helps qualified people in need receive Lilly medicines at no cost. Learn more at www.lillycares.com or by calling Lilly Cares at 1-800-545-6962.
1 List price, also referred to as wholesale acquisition cost or WAC, is the price at which Lilly sells its products to wholesalers and may not represent actual transactional prices patients pay at the pharmacy. WAC from AnalySource accessed on . Reprinted with permission by First Databank, Inc. All rights reserved. . https://www.fdbhealth.com/policies/drug-pricing-policy.
2 Based on information licensed from IQVIA: IQVIA™, Real-World Evidence Claims Data for the period reflecting estimates of real-world activity. All rights reserved. Accessed on .
3 Social Security Administration (SSA). Extra Help with Medicare Prescription Drug Plan Costs. https://www.ssa.gov/benefits/medicare/prescriptionhelp/. Accessed on .
4 Centers for Medicare & Medicaid Services (CMS). Announcement of Calendar Year (CY) Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. https://www.cms.gov/files/document/2021-announcement.pdf. Accessed on .
5 Centers for Medicare & Medicaid Services (CMS). Cost Sharing Out of Pocket Costs. Maximum Allowable Copayments for Eligible Populations by Family Income. **All out-of-pocket charges are based on the specific state's defined payment amount for that service. Certain groups, including children, terminally ill individuals, and individuals residing in an institution are exempt from cost sharing. Refer to your state agency for details about Medicaid out-of-pocket costs. https://www.medicaid.gov/medicaid/cost-sharing/cost-sharing-out-pocket-costs/index.html. Accessed on .
PURPOSE AND SAFETY SUMMARY WITH WARNINGS
Important Facts About Trulicity® (Trῡ-li-si-tee). It is also known as dulaglutide.
- Trulicity is a prescription medicine for adults with type 2 diabetes used along with diet and exercise to improve blood sugar (glucose). Trulicity is also used in adults with type 2 diabetes to reduce the risk of major cardiovascular events (problems having to do with the heart and blood vessels) such as death, heart attack, or stroke in people who have heart disease or multiple cardiovascular risk factors.
- It is not known if TRULICITY can be used in people who have had inflammation of the pancreas (pancreatitis). TRULICITY is not for use in people with type 1 diabetes and is not recommended for use in people with severe stomach or intestinal problems. It is not known if TRULICITY is safe and effective for use in children. TRULICITY should not be used in children under 18 years of age.
- Trulicity is given through an injection (needle). You take it once a week by injecting it under the skin of your stomach, thigh, or upper arm.
Warnings
Trulicity may cause tumors in the thyroid, including thyroid cancer. Watch for possible symptoms, such as a lump or swelling in the neck, trouble swallowing, hoarseness, or shortness of breath. If you have a symptom, tell your doctor.
- Do not use Trulicity if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC).
- Do not use Trulicity if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
- Do not use Trulicity if you are allergic to dulaglutide or other ingredients in Trulicity.
Ask your doctor how to recognize the serious side effects below and what to do if you think you have one:
Inflamed pancreas (pancreatitis). Stop using Trulicity and call your healthcare provider right away if you have severe pain in your stomach area (abdomen), with or without vomiting, that will not go away. You may feel the pain from your abdomen to your back.
Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use TRULICITY with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin.
Signs and symptoms of low blood sugar may include dizziness or light-headedness, confusion or drowsiness, headache, blurred vision, slurred speech, fast heartbeat, sweating, hunger, shakiness, feeling jittery, weakness, anxiety, irritability, or mood changes.
Serious allergic reactions. Stop using Trulicity and get medical help right away if you have any symptoms of a serious allergic reaction which may include swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting, or feeling dizzy, or very rapid heartbeat.
Acute kidney injury. In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration). This may cause kidney problems to get worse.
Severe stomach problems. Trulicity may cause stomach problems, which could be severe.
Changes in vision. Tell your healthcare provider if you have changes in your eyesight (vision) during treatment with Trulicity.
Common side effects
The most common side effects of Trulicity include nausea, diarrhea, vomiting, abdominal pain and decreased appetite, indigestion, and fatigue.
These are not all the possible side effects of Trulicity.
Tell your doctor if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.
Before using
- Your healthcare provider should show you how to use Trulicity before you use it for the first time.
- Before you use Trulicity, talk to your doctor about low blood sugar and how to manage it.
Review these questions with your doctor:
- Do you have other medical conditions, including problems with your pancreas, kidneys, liver, or stomach, or have a history of diabetic retinopathy (vision problems related to diabetes)?
- Do you take other diabetes medicines, such as insulin or sulfonylureas?
- Are you pregnant or plan to become pregnant or breastfeeding or plan to breastfeed?
- Do you take any other prescription medicines or over-the-counter drugs, vitamins, or herbs?
How to take
- Read the Instructions for Use that come with Trulicity.
- Use Trulicity exactly as your doctor says.
- Do not share your Trulicity pen, syringe, or needles with another person.
- Do not give Trulicity to other people.
- If you take too much Trulicity, call your healthcare provider or seek medical advice promptly.
Learn more
For more information, call 1-844-TRU-INFO (1-844-878-4636) or go to www.TRULICITY.com.
This summary provides basic information about Trulicity but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your doctor. Be sure to talk to your doctor or other healthcare provider about Trulicity and how to take it. Your doctor is the best person to help you decide if Trulicity is right for you.
Trulicity® and its delivery device base are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.
DG CON HL BS 24Jan2022
Source: https://www.lillypricinginfo.com/trulicity
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