Prices checked November 3, 2026 against Eli Lilly, CMS NADAC data, Health Canada and a published Canadian price list. Canadian amounts in CAD, US amounts in USD.

Trulicity cost in Canada vs the US

Short answer: four Trulicity pens cost from about $365 CAD cash in Canada (about $261 USD), plus a fee. In the US the list price is $1,006.93 for the same four pens, LillyDirect self-pay starts at $389, and people with commercial coverage may pay as little as $25 with Lilly's card. Only the two lower strengths are sold in Canada.

Jump to: Side-by-side prices · Canada: price, strengths and coverage · US: list, NADAC, self-pay and savings card · Health Canada vs FDA label · Calculator

Trulicity price: Canada vs US, four pens

Each row is four single-dose 0.5 mL pens, one carton and what Lilly calls a month's supply. Conversions use the Bank of Canada rate of 1.3960 CAD per USD on October 30, 2026.

Price basis	4 pens (CAD)	4 pens (USD)	Per pen (CAD)	Note
Canada: Jack Health (online, cash)	$365.00	$261.46	$91.25	From $365 for 0.75 or 1.5 mg, plus a prescription management fee
Canada: price Lilly submitted to CADTH (2016)	$191.80	$137.39	$47.95	$47.95 per pen to public plans in 2016; not a retail price
US: LillyDirect self-pay	$543.04	$389.00	$135.76	Starting at $389 a month, all four strengths, prescription required
US: Trulicity average pharmacy cost (NADAC)	$1,361.44	$975.24	$340.36	What US pharmacies pay on average, 1.5 mg, Oct 21, 2026; not a retail price
US: Trulicity list price (WAC)	$1,405.67	$1,006.93	$351.42	Lilly list price for 4 pens, same at every strength

Arithmetic on published prices, not a pharmacy quote. NADAC (National Average Drug Acquisition Cost) is what US retail pharmacies pay on average, so a US cash price at the counter is usually higher.

Canada: price, strengths and coverage

Strength	DIN	Health Canada status (DPD)
0.75 mg/0.5 mL pen	02448599	Marketed since January 8, 2016
1.5 mg/0.5 mL pen	02448602	Marketed since November 24, 2015
3 mg/0.5 mL pen	02530163	Approved August 25, 2022; not marketed
4.5 mg/0.5 mL pen	02530171	Approved August 25, 2022; not marketed

Health Canada Drug Product Database, checked November 3, 2026. Manufacturer: Eli Lilly Canada Inc. Prescription only (Schedule D).

Cash price. Jack Health lists four pens at 0.75 mg or 1.5 mg from $365 CAD, the same at both strengths, plus a prescription management fee. Other pharmacies set their own price and dispensing fee, so get a quote before you fill.
Quebec (RAMQ). Trulicity 0.75 mg and 1.5 mg are listed as an exceptional medication: covered only when the RAMQ criteria are met.
British Columbia. PharmaCare decided Trulicity is a non-benefit on March 13, 2020.
CADTH (now Canada's Drug Agency). In June 2016 it recommended public plans list Trulicity for adults with type 2 diabetes with metformin, or metformin plus a sulfonylurea, on condition that the drug plan cost not exceed the least costly drug reimbursed in that combination. Lilly's submitted price was $47.95 per pen.
Other provinces and private plans set their own rules; see the province-by-province notes in GLP-1 cost in Canada. Out-of-pocket prescription costs can count toward the CRA medical expense tax credit.

US: list price, NADAC, self-pay and the savings card

Situation (US)	Price	Fine print
List price (WAC)	$1,006.93 per 4 pens	Lilly: same at every strength, before insurance or discounts
Average pharmacy cost (NADAC)	About $975 per 4 pens	CMS, effective October 21, 2026 (table below)
LillyDirect self-pay	Starting at $389 a month	0.75, 1.5, 3 and 4.5 mg; prescription required; terms apply, taxes and fees may apply
Trulicity Savings Card	As little as $25 per fill	Commercial insurance that covers Trulicity; up to $150, $300 or $450 off a 1-, 2- or 3-month fill, $1,950 a year, 13 fills; government plans and alternate funding programs excluded; expires December 31, 2026
Medicare, Medicaid	Plan cost-sharing	Savings card not allowed. Lilly reports that in 2024 about 70% of Medicare patients paid $0 and 90% paid under $47; about 90% of Medicaid patients paid $0
Commercial insurance	Plan cost-sharing	Lilly reports that in 2024 about 40% of commercially insured patients paid $0 and 90% paid under $75 (HealthVerity data)

Strength (US)	NADAC per mL	Per pen	Per 4 pens (USD)	Per 4 pens (CAD)
0.75 mg/0.5 mL	$487.65	$243.82	$975.29	$1,361.51
1.5 mg/0.5 mL	$487.62	$243.81	$975.24	$1,361.44
3 mg/0.5 mL	$487.56	$243.78	$975.12	$1,361.27
4.5 mg/0.5 mL	$487.42	$243.71	$974.83	$1,360.86

CMS NADAC, effective October 21, 2026. Each pen holds 0.5 mL, so four pens are 2 mL. NADAC is a pharmacy acquisition cost, not what you pay.

The card pays your cost-sharing down to $25 until it hits the cap. If your plan charges $200 for a 1-month fill, $150 comes off and you pay $50. More card terms side by side are in US GLP-1 savings programs, and cash options in GLP-1 cost without insurance.

Health Canada monograph vs FDA label

	United States (FDA label)	Canada (product monograph)
Blood sugar in type 2 diabetes	Adults and children 10 years and older	Adults only; Health Canada has not authorized pediatric use
Heart and stroke indication	Reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal heart attack or non-fatal stroke) in adults with type 2 diabetes and established cardiovascular disease or multiple risk factors	Reduce the risk of non-fatal stroke in adults with type 2 diabetes and multiple cardiovascular risk factors or established cardiovascular disease
Combination wording	Adjunct to diet and exercise	Lists the combinations: alone when metformin is unsuitable, or with metformin, metformin plus a sulfonylurea, an SGLT2 inhibitor, basal insulin or prandial insulin
Strengths authorized	0.75, 1.5, 3 and 4.5 mg per 0.5 mL single-dose pen in both; only 0.75 and 1.5 mg marketed in Canada
Label version checked	DailyMed, published August 10, 2026	Eli Lilly Canada, revised July 5, 2024

Which strength you use is your prescriber's decision. The thyroid warning in both labels is compared in GLP-1 thyroid warning and contraindications.

Trulicity cost calculator (CAD or USD)

Price you pay per 4-pen carton Currency of that price Fee per fill (dispensing or management) Insurance or savings card pays (per carton) Cartons you fill in a year CAD per USD

Arithmetic only, on the numbers you enter. Thirteen four-pen cartons cover 52 weekly pens; use your own pharmacy history if it differs. The default exchange rate is the Bank of Canada rate for October 30, 2026.

Track what each fill really costs

Savings card caps, deductibles and switching between pharmacies all change what a carton costs you. Logging each fill and what you paid shows your real yearly spend.

Frequently asked questions

How much does Trulicity cost in Canada?

Canadian pharmacies set their own cash prices. Jack Health, a Canadian online prescription service, listed four Trulicity pens at 0.75 mg or 1.5 mg from $365 CAD plus a prescription management fee on November 3, 2026. For reference, the price Eli Lilly Canada submitted to CADTH in 2016 was $47.95 per pen, about $191.80 for four. Ask your pharmacy for its own quote.

How much does Trulicity cost in the US?

Lilly's list price is $1,006.93 for a month's supply of four pens, the same at every strength. CMS data effective October 21, 2026 put the average price US pharmacies pay at about $975 for four pens. Without insurance, LillyDirect lists Trulicity self-pay starting at $389 a month with a prescription.

Is Trulicity cheaper in Canada than in the US?

Against the US list price, yes. $365 CAD is about $261 USD at the Bank of Canada rate of 1.3960 (October 30, 2026), versus $1,006.93 USD list. It is also below LillyDirect's $389 USD self-pay price, before the Canadian prescription management fee.

Is there a Trulicity savings card?

In the US, yes. Lilly's Trulicity Savings Card lets eligible people with commercial insurance that covers Trulicity pay as little as $25 for a 1-, 2- or 3-month fill, with maximum savings of $150, $300 or $450 per fill and $1,950 per calendar year, for up to 13 fills. Medicare, Medicaid and other government coverage are excluded, and the current card expires December 31, 2026. US cards can't be used at Canadian pharmacies.

Are all Trulicity strengths sold in Canada?

Not as of November 3, 2026. Health Canada's Drug Product Database lists the 0.75 mg (DIN 02448599) and 1.5 mg (DIN 02448602) pens as marketed. The 3 mg (DIN 02530163) and 4.5 mg (DIN 02530171) pens were approved on August 25, 2022 but are still listed as approved, not marketed. In the US all four strengths are sold at the same list price.

Do provincial drug plans cover Trulicity?

It depends on the province. Quebec's RAMQ lists Trulicity 0.75 mg and 1.5 mg as an exceptional medication, which means set criteria must be met. BC PharmaCare decided on March 13, 2020 that Trulicity is a non-benefit. In 2016 CADTH recommended public plans list it for adults with type 2 diabetes with metformin, or with metformin and a sulfonylurea, if the cost was no more than the least costly drug reimbursed in that combination. Private plans set their own rules.

How is the Canadian Trulicity label different from the US one?

Both approve Trulicity for adults with type 2 diabetes. The US label also covers children 10 years and older and approves it to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal heart attack or non-fatal stroke). The Canadian monograph's cardiovascular indication is narrower, to reduce the risk of non-fatal stroke, and Health Canada has not authorized pediatric use.

Is there a generic Trulicity?

No. Health Canada's Drug Product Database lists only Eli Lilly's Trulicity for dulaglutide, and CMS NADAC data for October 2026 lists only brand Trulicity. Liraglutide (Victoza, Saxenda) is the GLP-1 with generics in the US.

Sources

Prices and program terms change often and eligibility rules apply; confirm with your pharmacy, insurer or Eli Lilly. This page is general information, not medical advice, and does not recommend any medication, strength or dose. Talk to your prescriber or pharmacist before starting, stopping or switching a medication.

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