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GLP-1 Decoder

Trulicity for Weight Loss: Pounds Lost by Dose

Trulicity is not FDA approved for weight loss. It is approved for type 2 diabetes and heart risk.

For weight loss
Not an approved use
Active ingredient
dulaglutide
How it is taken
weekly injection

A quick look at Trulicity

How long it remains in the body
100%50%25%0%05 d10 d15 d20 d25 d50%25%12.5%time after the dose

Its half-life is about 5 days. After 5 d, half is gone; five half-lives (25 d) leave about 3%.

Sources: FDA label at DailyMed.

Who qualifies?

Trulicity: who qualifies
Who sets the ruleWho qualifies
FDA labelWith diet and exercise, the medicine lowers blood sugar in adults and children 10 and older with type 2 diabetes.
FDA labelAdults with type 2 diabetes and several heart risk factors or heart disease face a lower risk of heart attack, stroke or heart-related death when taking it.
Typical commercial plan (Aetna policy)BMI 30 or higher
Typical commercial plan (Aetna policy)BMI 27 or higher with a weight-related condition
Typical commercial plan (Aetna policy)first comes a diet and activity program lasting 6 months

Sources: FDA label at DailyMed and aetna.com.

How is weight loss different?

Weight loss details in the Trulicity label
What changesWhat the label says
Acute PancreatitisCan cause inflammation of the pancreas. Stop taking it and get care if severe stomach pain continues and sometimes moves into your back.
Acute Gallbladder DiseaseGallstones and gallbladder inflammation can happen. If you have upper right belly pain, fever, or yellow skin or eyes, report it.

According to FDA labels: FDA label on DailyMed.

From the label warnings: FDA DailyMed label.

Coverage for weight loss

A GLP-1 used only for weight loss is not covered by Medicare Part D.

Prior authorization is the standard for Medicaid coverage of weight-loss GLP-1s.

Sources listed: humana.com and KFF.

For weight loss

GLP-1 medicines and weight loss
MedicineFor weight lossHow it is takenTrial result
WegovyFDA approvedweekly injection or daily tablet14.9% weight loss
ZepboundFDA approvedweekly injection20.9% weight loss
FoundayoFDA approveddaily tablet11.1% weight loss
SaxendaFDA approveddaily injection7.4% weight loss
TrulicityNot an approved useweekly injectionNot listed
OzempicNot an approved useweekly injectionNot listed
RybelsusNot an approved usedaily tabletNot listed
MounjaroNot an approved useweekly injectionNot listed
VictozaNot an approved usedaily injectionNot listed
ByettaNot an approved usetwice-daily injectionNot listed

Sources: FDA label at DailyMed.

Questions for your prescriber

On DailyMed, read the complete Trulicity prescribing information.