Benefily
Prior authorization required

Does Alliance Health And Life Insurance Company require prior authorization for Trulicity?

Alliance Health And Life Insurance Company requires prior authorization for Trulicity on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
0.5 ML dulaglutide 1.5 MG/ML Auto-Injector [Trulicity]15513005 / 5505Prior authorization required
0.5 ML dulaglutide 3 MG/ML Auto-Injector [Trulicity]15513065 / 5505Prior authorization required
0.5 ML dulaglutide 6 MG/ML Auto-Injector [Trulicity]23957795 / 5505Prior authorization required
0.5 ML dulaglutide 9 MG/ML Auto-Injector [Trulicity]23957855 / 5505Prior authorization required

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 0.5 ML dulaglutide 1.5 MG/ML Auto-Injector [Trulicity]

Trulicity has 4 products in the corpus; this table is for 0.5 ML dulaglutide 1.5 MG/ML Auto-Injector [Trulicity], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
HAP Medicare Complete Assist (PPO D-SNP)H2322-0203YesNoYes
HAP Medicare Explore (PPO)H2322-0113YesNoYes
HAP Medicare Prime (PPO)H2322-0163YesNoYes
HAP Member Assist (PPO)H2322-0173YesNoYes
HAP Senior Plus (PPO)H2322-0083YesNoYes
Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Trulicity at other payers

Or see Trulicity across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.