Medicare drug coverage

Trulicity: 2027 Medicare Part D coverage

5,258 of 5,495 Part D plans (96%) list Trulicity on their 2027 formulary, the plan's list of covered drugs (the same share as 2026). 100% of those require prior authorization, step therapy, or a quantity limit. Plan counts include both Medicare Advantage plans with drug coverage (5,172 MA-PD) and stand-alone drug plans (323 PDP).

License: a US government work, in the public domain (Public Domain Mark 1.0).

Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.

2027 compared with 2026

Trulicity is number 6 by total Medicare Part D spending in 2024 ($5.5 billion). Plans that list it most often put it on tier 3 (a tier is the cost level a plan puts a drug on; a lower tier usually costs less). Counts use 5 RxNorm products for this name.

Trulicity Part D coverage, 2026 and 2027
Measure20262027Change
Part D plans in the file5,5185,495-23
Plans that list it5,286 (96%)5,258 (96%)no change
Prior authorization (of plans that list it)5,284 (100%)5,258 (100%)no change
Step therapy (of plans that list it)0 (0%)0 (0%)no change
Quantity limit (of plans that list it)5,236 (99%)5,236 (100%)+1 point
Any of the three (of plans that list it)5,285 (100%)5,258 (100%)no change
Not listed or restricted (of all plans)5,517 (100%)5,495 (100%)no change

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

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Formulary tier

Trulicity formulary tier, 2026 and 2027
Tier2026 plans2027 plans
Tier 1163 (3%)122 (2%)
Tier 252 (1%)312 (6%)
Tier 34,975 (94%)4,819 (92%)
Tier 531 (1%)0 (0%)
Tier 665 (1%)5 (0%)

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

Plan by plan, 2026 to 2027

4,380 plan IDs are in both files. 20 of them (0%) added prior authorization, step therapy, or a quantity limit for Trulicity, and 8 stopped listing it.

Trulicity: plans in both 2026 and 2027
Plan by planPlans
Same plan ID in both years4,380
Listed it in 2026, not in 20278 (0%)
Listed it in 2027, not in 202611 (0%)
Moved it to a higher tier44 (1%)
Added prior authorization1 (0%)
Added step therapy0 (0%)
Added a quantity limit19 (0%)
Added at least one of the three20 (0%)
Removed at least one of the three0 (0%)
Plan IDs new in 20271,115
2026 plan IDs not in the 2027 file1,138

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

States from most to least restrictive

Share of 2027 Part D plans offered in each state that leave Trulicity off the formulary or list it with prior authorization, step therapy, or a quantity limit. All 51 states are at 100%. States at the same share are ordered by the prior authorization or step therapy share; states equal on both shares share a rank, marked Tied.

States from most to least restrictive for Trulicity, 2027
RankState2027 plansNot listed or restrictedPrior auth or step therapyChange from 2026
Tied 1Texas412100%99%no change
Tied 1Pennsylvania324100%99%no change
Tied 3Michigan183100%98%no change
Tied 3North Carolina177100%98%no change
Tied 3Ohio173100%98%no change
Tied 3Missouri171100%98%no change
Tied 3New York215100%98%no change
Tied 3Tennessee157100%98%no change
Tied 3Arizona148100%98%no change
Tied 3Indiana140100%98%no change
Tied 3Illinois133100%98%no change
Tied 3Louisiana126100%98%no change
Tied 3Kentucky123100%98%no change
Tied 14Alabama115100%97%no change
Tied 14Florida549100%97%no change
Tied 14Mississippi105100%97%no change
Tied 14Wisconsin97100%97%no change
Tied 14Massachusetts92100%97%no change
Tied 14South Carolina91100%97%no change
Tied 14Arkansas86100%97%no change
Tied 21Kansas84100%96%no change
Tied 21Oklahoma81100%96%no change
Tied 21West Virginia70100%96%no change
Tied 21New Mexico68100%96%no change
Tied 25Connecticut54100%94%no change
Tied 25Utah53100%94%no change
Tied 25Maine52100%94%no change
Tied 25Nevada100100%94%no change
Tied 25Virginia145100%94%no change
Tied 25Iowa64100%94%no change
Tied 31Idaho45100%93%no change
Tied 31New Jersey74100%93%no change
Tied 31Delaware43100%93%no change
Tied 31Georgia151100%93%no change
Tied 35Oregon92100%92%no change
Tied 35Nebraska51100%92%no change
37Rhode Island29100%90%no change
38New Hampshire25100%88%no change
Tied 39Minnesota63100%87%no change
Tied 39California397100%87%no change
Tied 39Colorado106100%87%no change
Tied 39South Dakota30100%87%no change
Tied 43Montana27100%85%no change
Tied 43North Dakota26100%85%no change
45Washington114100%83%no change
46Hawaii50100%82%no change
47Vermont14100%79%no change
Tied 48Maryland49100%69%no change
Tied 48Wyoming13100%69%no change
Tied 50Alaska9100%67%no change
Tied 50District of Columbia21100%67%no change

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

By parent organization

164 parent organizations offer 2027 Part D plans. Humana Inc. has the most, 884, and 100% of them leave Trulicity off or restrict it.

Trulicity coverage by parent organization, 2027
Parent organization2027 plans ↓List itRestrict it (of listing)Not listed or restrictedChange from 2026Plans that added a restriction
Elite Health Systems, Inc.2100%100%100%no change0
Group Health Cooperative of Eau Claire2100%100%100%no change0
Hamaspik of Rockland County, Inc.2100%100%100%no change0
ISNP Holdings, LLC2100%100%100%no change0
Kansas Superior Select2100%100%100%no change0
Missouri Healthcare Advisors, LLC2100%100%100%no change0
MultiCare Health Systems2100%100%100%new in 20270
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND2100%100%100%no change0
PrimeWest Rural MN Health Care Access Initiative2100%100%100%no change0
Regency ISNP Holdings LLC2100%100%100%no change0
Select Founders, LLC2100%100%100%no change0
Sentara Health Care (SHC)2100%100%100%no change0
South Country Health Alliance2100%100%100%no change0
The Regents of the University of California2100%100%100%no change0
Troy Holdings, Inc.2100%100%100%no change0
AIDS Healthcare Foundation1100%100%100%no change0
Alameda Alliance for Health1100%100%100%no change0
AllCare Health, Inc.1100%100%100%no change0
AlohaCare1100%100%100%no change0
BCBS MN, MT, NE, ND, WY, Wellmark IA and SD10%none list it100%no change0
CareOregon, Inc.1100%100%100%no change0
Contra Costa Health Services1100%100%100%no change0
DLP Marquette Health Plan, LLC1100%100%100%no change0
Health Plan of San Mateo10%none list it100%+100 points0
IMPERIAL COUNTY LOCAL HEALTH AUTHORITY1100%100%100%no change0

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Near it by Part D spending

About this data

A plan here is one Part D plan as the CMS formulary files list it: contract, plan, and segment. That covers Medicare Advantage plans with drug coverage and stand-alone drug plans. A plan lists a drug when its formulary has a row for any RxNorm product of that name. When it has several, the row with the lowest tier is the one counted, and restricted means that row has prior authorization, step therapy, or a quantity limit.

A plan with no row for the drug counts as not listing it. That can be a product the file codes another way, so read a low count as a lookup result, not a coverage decision. A state counts every plan the CMS landscape file offers there. Parent organizations are named as CMS names them. The drug list is the top 200 by total Part D spending.

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS Medicare Part D Spending by Drug, 2024 data, as of June 25, 2026. Publisher page

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