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Trulicity vs Biktarvy

Side-by-side drug price comparison from Medicare Part D data

Reviewed by DrugPrice Editorial Team · Updated

Verdict

Trulicity costs 87% less per claim than Biktarvy ($473.00 vs $3746.00). Neither drug has a generic alternative available. Total Medicare spending: Trulicity at $4.2B vs Biktarvy at $3.8B.

MetricTrulicityBiktarvy
Avg Cost per Claim
Average cost Medicare pays per prescription claim
$473*$3,746
Total Medicare Spending
Total Medicare Part D spending on this drug
$4.2B$3.8B
Total Claims8,920,0001,020,000
Year-over-Year Change
Price change from prior year (lower is better for patients)
-4.8%*12.8%
Generic AvailableNoNo
ConditionDiabetesHIV
Total Beneficiaries985,00085,000

Trulicity costs 87% less per claim than Biktarvy ($473.00 vs $3746.00). Neither drug has a generic alternative available. Total Medicare spending: Trulicity at $4.2B vs Biktarvy at $3.8B.

Explore More

The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Trulicity and Biktarvy. What follows is the interpretation — which specific axes carry the most weight for Trulicity versus Biktarvy, and which differences are large enough to influence a real decision.

For households or analysts using this comparison as a decision input, the right framing is usually not "which is better" in aggregate but "which is better for the specific decision in front of you." CMS Medicare Part D Drug Spending data captures the raw data; the framing depends on whether the question is investment, residency, planning, or research.

Source: CMS Medicare Part D Spending, 2026.