Trulicity Cost at Sam’s Club in 2026: Real Pricing Breakdown

Introduction

Trulicity® (dulaglutide) is Eli Lilly’s once-weekly GLP-1 injection, FDA-approved in 2014 for type 2 diabetes and approved in 2020 for cardiovascular risk reduction in adults with type 2 diabetes. Lilly’s wholesale acquisition cost sits near $987 per 4-pen monthly carton, and Sam’s Club’s pharmacy is among the cheapest U.S. cash options for the drug in 2026.

Sam’s Club’s 2026 cash price for a 4-pen Trulicity carton runs $910 to $990, with the typical receipt around $945. Sam’s Club sits just above Costco and just below Walmart on national average, making the warehouse club the second-cheapest major retail option for Trulicity in 2026.

Here’s what Sam’s Club really charges, how Plus membership and non-member access work, and where the lowest legitimate price sits.

At TrimRx, we believe that understanding your options is the first step toward a more manageable health journey. You can take the free assessment quiz if you’re ready to see whether a personalized program is a fit for you.

What Does Trulicity Cost at Sam’s Club in 2026?

A 4-pen Trulicity carton at Sam’s Club runs $910 to $990 cash in 2026 for any standard strength. The carton covers 28 days, so it is the monthly cash burden for uninsured patients without a coupon.

Quick Answer: Sam’s Club cash price for a 4-pen Trulicity carton runs $910 to $990 in 2026

Sam’s Club uses regional pricing, so the same SKU can vary by $40 to $80 between a Houston warehouse and a New Jersey warehouse on the same day. NDC 0002-1433-80 (0.75 mg) and NDC 0002-1434-80 (1.5 mg) are the standard stock SKUs.

Sam’s Club’s pharmacy operates on slim margins because Sam’s Club’s business model is membership revenue, not script markup. That allows aggressive cash retail pricing.

How Does Sam’s Club Compare to Costco, Walmart, and Chain Pharmacies?

Sam’s Club’s national average for Trulicity is $945 in a Q1 2026 GoodRx scan. Costco averaged $928, Walmart $980, Kroger $1,022, CVS $1,068, Walgreens $1,082, and Rite Aid $1,089.

Sam’s Club and Costco trade leads on Trulicity by $10 to $40 per fill depending on market. Both warehouses run dramatically below chain pharmacies. The Sam’s Club versus Walmart gap is small (about $35), but it adds up to roughly $400 a year for a monthly Trulicity user.

Sam’s Club is owned by Walmart Inc., so the supply chain is shared. The pricing model differs because Sam’s Club pharmacy is structured around member services rather than general retail traffic.

Can I Use Sam’s Club Pharmacy Without a Sam’s Club Membership?

Yes. Federal law requires Sam’s Club to allow non-members to use its pharmacy. Tell the greeter at the warehouse entrance you are going to the pharmacy and they will direct you in. Some Sam’s Club locations have separate pharmacy entrances.

The Sam’s Club Plus Pharmacy Program is an enhanced perk for Plus members that includes additional discounts on hundreds of generics. Base pharmacy access is open to everyone regardless of membership status.

Non-member access works the same way it does at Costco. The pharmacy is regulated as a healthcare service that cannot legally be restricted to members under most state and federal pharmacy laws.

Does Sam’s Club Plus Membership Lower the Trulicity Price?

Plus membership cuts Trulicity’s sticker by 1 to 3 percent at most warehouses, which is roughly $10 to $30 off a 4-pen carton. The bigger Plus pharmacy benefit lives on the generic side, where Plus members can pay zero for hundreds of common generics.

Trulicity is brand-only because dulaglutide’s patent extension through Eli Lilly’s formulation work has kept generics off the market through 2026. That limits the Plus discount compared to what you would see on generic statins or metformin.

For Plus members already paying the $110-a-year membership fee for other reasons, the small Trulicity discount is a marginal but real perk.

Will the Trulicity Savings Card Work at Sam’s Club?

Yes. The Eli Lilly Trulicity Savings Card is accepted at every Sam’s Club pharmacy. Commercially insured patients with covered plans pay as little as $25 for a 1-month supply or $75 for a 3-month supply. Patients with commercial coverage that does not cover Trulicity get up to $150 off per month.

The card excludes Medicare, Medicaid, TRICARE, VA, and other government plan patients. Activation runs through trulicity.com.

Sam’s Club pharmacists run the card after insurance adjudication. If commercial PA fails, the card still works in the cash-pay path with the alternative tier discount.

Can GoodRx or SingleCare Beat Sam’s Club’s Cash Price?

GoodRx at Sam’s Club brings Trulicity to roughly $870 to $950 per 4-pen carton in 2026, a 3 to 7 percent cut off Sam’s Club cash retail. SingleCare runs within $20 of GoodRx most months.

You cannot stack a third-party coupon with the manufacturer savings card. The pharmacy runs one path per fill. The Lilly savings card almost always wins for commercial patients. GoodRx wins for uninsured and Medicare-eligible patients.

Sam’s Club pharmacists will run multiple coupons against the cash and Plus-member rate to find the lowest single option.

Key Takeaway: The Trulicity Savings Card from Eli Lilly drops eligible commercial patients to $25 a month

Does Sam’s Club Insurance Billing Help If My Plan Covers Trulicity?

Commercial plans that cover Trulicity typically place it on a preferred or non-preferred specialty tier. Sam’s Club pharmacy copays run $30 to $100 a month after prior authorization, with coinsurance plans hitting 20 to 35 percent of the allowed cost.

Sam’s Club pharmacists handle prior auth submissions in-house and follow up with prescriber offices. Most PAs return within 48 to 72 hours for a drug with a clear clinical indication like type 2 diabetes.

Medicare Part D covers Trulicity for type 2 diabetes, so the 2026 Inflation Reduction Act $2,000 Part D out-of-pocket cap applies.

What About Sam’s Club Mail-order for Trulicity?

Sam’s Club Pharmacy Mail Service ships Trulicity in insulated cold packaging with two-day delivery. A 90-day Trulicity fill by mail typically matches the in-store per-month price.

Mail-order requires either Plus membership or use of the Sam’s Club Membership Prescription Program portal, which has more limited generic access for non-members. For chronic Trulicity users who want home delivery, the Plus membership fee pays for itself in time savings and small additional discounts.

The Sam’s Club mail service uses Walmart’s distribution network, so coverage and reliability are strong nationally.

How Does Trulicity Compare to Newer GLP-1s Clinically?

Trulicity’s REWIND trial (Gerstein et al. 2019, Lancet) showed 12 percent reduction in major adverse cardiovascular events in adults with type 2 diabetes over 5.4 years. That gives Trulicity strong cardiovascular outcome evidence.

The SUSTAIN-6 trial (Marso et al. 2016, NEJM) showed weekly semaglutide reduced MACE by 26 percent in adults with type 2 diabetes. The SURPASS program established weekly tirzepatide as superior to semaglutide on glycemic control and weight loss in head-to-head data.

For diabetes management with cardiovascular benefit, all three drugs (Trulicity, Ozempic®, Mounjaro®) are clinically reasonable. The right choice depends on weight goals, side effect tolerance, and cost.

What’s the Cheapest Legitimate Way to Buy Trulicity in 2026?

For commercial patients, the Trulicity Savings Card at any participating pharmacy, including Sam’s Club, drops the price to $25 a month.

For Medicare patients, the 2026 Part D $2,000 out-of-pocket cap is the main protection. Combined with Sam’s Club’s already-low cash retail, Medicare patients filling Trulicity at Sam’s Club typically pay among the lowest prices in the country.

For uninsured patients, Sam’s Club cash with a GoodRx coupon at $870 to $950 a month is competitive with Costco and well below chain pharmacy alternatives.

Are There Compounded GLP-1 Alternatives to Trulicity?

Yes. Compounded semaglutide and tirzepatide through licensed telehealth platforms became major GLP-1 alternatives in 2024 and 2025. The FDA removed semaglutide from the shortage list in February 2025 and tirzepatide in December 2024.

Pharmacies operating under USP 503A and 503B can still produce personalized compounded GLP-1 formulations for patients with valid prescriptions and demonstrated clinical need.

TrimRx connects patients with licensed prescribers and compounding pharmacies for personalized semaglutide and tirzepatide plans starting near $199 a month. The free assessment quiz takes about five minutes.

Bottom line: Compounded semaglutide and tirzepatide through telehealth platforms like TrimRx start near $199 a month

FAQ

Do I Need a Sam’s Club Membership to Fill Trulicity at the Pharmacy?

No. Federal law allows non-members to use Sam’s Club pharmacy. Tell the warehouse greeter you are going to the pharmacy and they will direct you in.

Does Sam’s Club Stock All Trulicity Strengths?

Most Sam’s Club pharmacies stock 0.75 mg and 1.5 mg as standard inventory. The 3.0 mg and 4.5 mg titration doses are usually available with a day or two of advance notice.

Can I Use Sam’s Club Mail-order Without a Membership?

The full Sam’s Club Plus Pharmacy Mail Service requires Plus membership. Non-members can use the Sam’s Club Membership Prescription Program portal with more limited services. For chronic specialty drugs like Trulicity, Plus membership usually pays for itself.

Does Sam’s Club Pharmacy Accept HSA and FSA Cards for Trulicity?

Yes. Trulicity is FSA and HSA eligible when prescribed for type 2 diabetes. The pharmacy will swipe the card for the patient responsibility portion.

What’s the Storage Requirement for Trulicity From Sam’s Club?

Trulicity pens require refrigeration at 36 to 46 degrees Fahrenheit before first use. After first use, each pen is stable at room temperature up to 86 degrees for 14 days.

Can Sam’s Club Fill a 90-day Trulicity Prescription?

Yes. Sam’s Club pharmacy and Plus mail-order both fill 90-day Trulicity supplies for plans that permit it.

Is Sam’s Club Trulicity the Same Product as Costco Trulicity?

Yes. Both warehouses dispense the same Eli Lilly product under the same NDC codes, manufactured at the same facility. The only difference is the pharmacy’s retail price markup.

Disclaimer: This content is for informational purposes only and does not constitute medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or condition. Individual results may vary. Always consult a qualified healthcare professional before starting any weight loss program or medication.