Benefily
Varies by plan

Does Mcs Advantage, INC. require prior authorization for Trulicity?

Prior authorization for Trulicity differs across Mcs Advantage, INC.'s Medicare Part D plans and product strengths — 3 of 4 Trulicity products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
0.5 ML dulaglutide 1.5 MG/ML Auto-Injector [Trulicity]155130020 / 2020020Prior authorization required
0.5 ML dulaglutide 3 MG/ML Auto-Injector [Trulicity]155130620 / 2020020Prior authorization required
0.5 ML dulaglutide 6 MG/ML Auto-Injector [Trulicity]239577920 / 2020020Prior authorization required
0.5 ML dulaglutide 9 MG/ML Auto-Injector [Trulicity]23957850 / 20000Not on formulary

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
MCS Classicare Efectivo (HMO)H5577-0053YesNoYes
MCS Classicare En Tu Hogar (HMO)H5577-0433YesNoYes
MCS Classicare Essential (HMO-POS)H5577-0083YesNoYes
MCS Classicare Estrella (HMO)H5577-0603YesNoYes
MCS Classicare Excede (HMO)H5577-0563YesNoYes
MCS Classicare Excede (HMO)H5577-0563YesNoYes
MCS Classicare Excede (HMO)H5577-0563YesNoYes
MCS Classicare Firme (HMO)H5577-0423YesNoYes
MCS Classicare Hero (HMO)H5577-0443YesNoYes
MCS Classicare InteliCare (HMO)H5577-0523YesNoYes
MCS Classicare Platino 185 (HMO D-SNP)H5577-0623YesNoYes
MCS Classicare Platino Ideal (HMO D-SNP)H5577-0023YesNoYes
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0543YesNoYes
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0543YesNoYes
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0543YesNoYes
MCS Classicare Platino Progreso (HMO D-SNP)H5577-0173YesNoYes
MCS Classicare Platino Superior (HMO D-SNP)H5577-0613YesNoYes
MCS Classicare Platino Total (HMO D-SNP)H5577-0463YesNoYes
MCS Classicare Primero (HMO C-SNP)H5577-0383YesNoYes
MCS Classicare RxMax (HMO)H5577-0593YesNoYes
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.