Trulicity (dulaglutide)

Do You Qualify?

Income Limits (400% FPL)

Income threshold calculated at 400% of the 2025 FPL. Total household income is verified via tax returns or pay stubs.

Based on 2025 HHS Federal Poverty Level guidelines.

# How to Get Trulicity (Dulaglutide) Through the Lilly Cares Foundation Patient Assistance Program

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Who Qualifies for the Lilly Cares Foundation Patient Assistance Program?

If you need Trulicity (dulaglutide) but cannot afford it, you may be able to get it at no cost through the Lilly Cares Foundation Patient Assistance Program, run by Eli Lilly. To qualify, you generally need to meet income and insurance requirements. For a single-person household, your annual income must be at or below $60,240. On the insurance side, you must be either uninsured or enrolled in Medicare Part D — patients with active commercial insurance or Medicaid are typically not eligible for this program, though other savings options may still be available to you.

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About Trulicity (Dulaglutide)

Trulicity is a prescription injectable medication approved by the FDA to help manage type 2 diabetes mellitus in adults. It belongs to a class of drugs called GLP-1 receptor agonists, which work by helping the body regulate blood sugar levels. Trulicity is administered once weekly by injection and is made by Eli Lilly. Without insurance or financial assistance, Trulicity can cost well over $800 to $1,000 per month at retail prices, placing it out of reach for many patients. The Lilly Cares Foundation program exists specifically to help uninsured and Medicare patients access this medication without that financial burden.

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Income Eligibility: Full Breakdown

The Lilly Cares Foundation sets income limits based on your total household size and gross annual income. The thresholds below are calculated at 400% of the 2025 Federal Poverty Level (FPL):

| Household Size | Max Annual Income |

|---|---|

| 1 person | $60,240 |

| 2 persons | $81,760 |

| 3 persons | $103,280 |

| 4 persons | $124,800 |

Your income is typically verified using your prior year federal tax return, a W-2 form, or three months of recent pay stubs. All sources of household income — including wages, Social Security, retirement income, and self-employment — may be counted.

If your income is above these limits, you will not qualify for the patient assistance program (PAP). However, you are not without options. Insured patients who do not meet PAP income thresholds may be eligible for Lilly's savings card program (covered below). You can also contact the Lilly Cares team directly at (800) 545-6962 to discuss your specific situation — in some cases, exceptions or alternative resources may apply.

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Insurance Requirements Explained

Your insurance status is one of the most important factors in determining whether you qualify for this program. Here is how each situation is typically handled:

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Step-by-Step: How to Apply

Follow these steps to apply for free Trulicity through the Lilly Cares Foundation:

1. Check your eligibility. Review the income table and insurance requirements above to confirm you likely qualify before starting your application.

2. Gather your documents. You will need:

- A completed and signed Lilly Cares application form

- Proof of household income (prior year tax return, W-2, or three months of pay stubs)

- A valid, current prescription for Trulicity from a licensed healthcare provider

3. Choose your application method. You can apply in multiple ways:

- Online: Visit https://www.lillycares.com to complete and submit your application electronically — this is the fastest option.

- By phone: Call (800) 545-6962 to apply with assistance from a program representative.

- By fax: Fax your completed application and supporting documents to (844) 431-6650.

4. Have your prescriber involved. Your doctor or their office staff may need to sign a portion of the application or submit the prescription directly. Many practices are familiar with Lilly Cares and can assist you.

5. Submit and wait for confirmation. Once your application is submitted with all required documents, you should receive a decision within 7 to 10 business days.

6. Follow up if needed. If you have not heard back after 10 business days, call (800) 545-6962 to check your application status.

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What to Expect: Timeline and Delivery

After submitting a complete application, processing typically takes 7 to 10 business days. Lilly Cares will notify you — and often your prescriber's office — of the approval decision. If approved, your Trulicity will be shipped directly to your home address, so you do not need to pick it up from a pharmacy or your doctor's office. Make sure your address on the application is current and accurate. Your enrollment in the program is valid for one year, after which you will need to reapply and reauthorize your eligibility. You will typically be notified before your enrollment expires so you can submit updated documents in time to avoid a gap in coverage.

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Alternatives If You Don't Qualify

If you do not qualify for the Lilly Cares Foundation PAP, consider these options:

1. Biosimilar alternatives: As of now, there are no FDA-approved biosimilar versions of Trulicity (dulaglutide) available in the United States. This option is not currently available, but it is worth asking your doctor about in the future.

2. Lilly savings card: If you have commercial insurance, you may qualify for Lilly's savings card program, which can lower your monthly copay. Visit https://www.trulicity.com/savings-resources to check your eligibility and enroll.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own programs to help residents pay for prescription drugs. Eligibility and benefits vary by state. Contact your state's department of health or aging to find out what is available where you live.

4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, copay cards, and state resources. Visit https://www.needymeds.org or call their helpline to search for additional options that fit your situation.

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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Eli Lilly. Program terms may change — verify current requirements at [https://www.trulicity.com/cost-and-insurance.html](https://www.trulicity.com/cost-and-insurance.html) before applying.*

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