Benefily
Prior authorization required

Does Preferred Care Partners, INC. require prior authorization for Trulicity?

Preferred Care Partners, INC. 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]155130035 / 3535035Prior authorization required
0.5 ML dulaglutide 3 MG/ML Auto-Injector [Trulicity]155130635 / 3535035Prior authorization required
0.5 ML dulaglutide 6 MG/ML Auto-Injector [Trulicity]239577935 / 3535035Prior authorization required
0.5 ML dulaglutide 9 MG/ML Auto-Injector [Trulicity]239578535 / 3535035Prior 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
AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS)H1045-0573YesNoYes
AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS)H1045-0583YesNoYes
AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)H1045-0593YesNoYes
AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)H1045-0603YesNoYes
AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)H1045-0673YesNoYes
AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)H1045-0693YesNoYes
AARP Medicare Advantage from UHC FL-0005 (HMO-POS)H1045-0263YesNoYes
AARP Medicare Advantage from UHC FL-0006 (HMO-POS)H1045-0283YesNoYes
AARP Medicare Advantage from UHC FL-0007 (HMO-POS)H1045-0303YesNoYes
AARP Medicare Advantage from UHC FL-0008 (HMO-POS)H1045-0313YesNoYes
AARP Medicare Advantage from UHC FL-0009 (HMO-POS)H1045-0333YesNoYes
AARP Medicare Advantage from UHC FL-0010 (HMO-POS)H1045-0343YesNoYes
AARP Medicare Advantage from UHC FL-0011 (HMO-POS)H1045-0413YesNoYes
AARP Medicare Advantage from UHC FL-0012 (HMO-POS)H1045-0423YesNoYes
AARP Medicare Advantage from UHC FL-0013 (HMO-POS)H1045-0433YesNoYes
AARP Medicare Advantage from UHC FL-0015 (HMO-POS)H1045-0553YesNoYes
AARP Medicare Advantage from UHC FL-001P (HMO-POS)H1045-0363YesNoYes
AARP Medicare Advantage from UHC FL-003P (HMO-POS)H1045-0453YesNoYes
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483YesNoYes
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483YesNoYes
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483YesNoYes
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483YesNoYes
UHC Dual Complete FL-D002 (HMO-POS D-SNP)H1045-0393YesNoYes
UHC Preferred Complete Care FL-0003 (HMO C-SNP)H1045-0183YesNoYes
UHC Preferred Dual Complete FL-D001 (HMO D-SNP)H1045-0123YesNoYes
UHC Preferred Dual Complete FL-D01P (HMO D-SNP)H1045-0383YesNoYes
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)H1045-0613YesNoYes
UHC Preferred Dual Complete FL-V2 (HMO D-SNP)H1045-0643YesNoYes
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)H1045-0633YesNoYes
UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP)H1045-0653YesNoYes
UHC Preferred Medicare Advantage FL-0001 (HMO)H1045-0013YesNoYes
UHC Preferred Medicare Advantage FL-0002 (HMO)H1045-0053YesNoYes
UHC Preferred Medicare Advantage FL-002P (HMO)H1045-0373YesNoYes
UHC The Villages Medicare Advantage FL-0004 (HMO-POS)H1045-0253YesNoYes
UHC The Villages Medicare Advantage FL-004P (HMO-POS)H1045-0563YesNoYes
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.