$49$0.99

Does Blue Shield of California Cover Trulicity

Explore why Blue Shield may deny Trulicity, learn how to secure coverage, discover costs without insurance, and find answers in our FAQ.

Treat your allergies with Curex

as seen on

“Curex is changing the landscape of allergies in 2024”

Trulicity Coverage Under Blue Shield of California

Trulicity is generally covered for patients with Type 2 diabetes who meet specific criteria. It is crucial to check your individual plan details.

Coverage typically requires a prescription from a licensed healthcare provider showing medical necessity.

Prior authorization might be needed, involving documentation demonstrating that other treatments were insufficient.

There may be restrictions based on dosage and frequency, ensuring use aligns with approved medical guidelines.

Cost-sharing elements like deductibles, copayments, or coinsurance fees could apply. Verify these with your plan's summary of benefits.

Contact Blue Shield of California directly to confirm policy specifications as they may vary by plan and location.

Want to try immunotherapy?

Start with Curex

Covered

Uncovered

Treat your allergies with Curex - $49 $9.99

Review your allergy test results with a Curex allergist.

Start Now

Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Trulicity Coverage with Blue Shield of California

Start with a Blue Shield of California Plan Review

Visit the Blue Shield of California website to understand the plans available. Make sure the plan covers prescription medications.

Identify any specific requirements for drug coverage, such as formularies or preferred pharmacy networks.

Confirm Trulicity is on the Formulary

Access the plan's drug formulary list, available on the Blue Shield of California website or by request from customer service.

Search for Trulicity to see if it is included. Note any specific conditions or authorization requirements.

Contact Blue Shield of California Customer Service

Call the customer service number provided on your insurance card for direct assistance and verification.

Ask about any necessary steps or documentation required to receive coverage for Trulicity.

Visit Your Healthcare Provider

Consult with your healthcare provider to ensure Trulicity is the right medication for you.

Discuss the necessity of Trulicity in your treatment plan to prepare for potential insurance queries.

Obtain Prior Authorization (if necessary)

Check if Blue Shield requires prior authorization for Trulicity. This can often be confirmed during your customer service call or through plan documents.

If required, have your healthcare provider submit the necessary documentation and prior authorization form to Blue Shield.

Submit a Formal Prescription

Ask your healthcare provider to send an electronic or written prescription to a pharmacy within the plan's network.

Ensure the pharmacy is aware that you are covered by Blue Shield of California, so they can verify coverage.

Check for Co-Payment Assistance Programs

Investigate if Trulicity offers any manufacturer savings programs or co-pay assistance options to reduce out-of-pocket costs.

Coordinate these programs with your pharmacy and insurance provider for maximum benefits.

Appeal if Denied Coverage

If coverage is denied, review the explanation of benefits for the denial reason.

Follow the appeals process outlined by Blue Shield of California, providing additional documentation if necessary.

Regularly Review Policy Updates

Frequently review changes in your insurance policy or formulary updates that might affect Trulicity coverage.

Renew any necessary authorizations or prescriptions as advised by your healthcare provider or insurance updates.

Happy Customers

We love helping people!

Allie, Nevada

"I have two cats I can finally cuddle!"
‍

Cat and dog allergies

Zachary, Texas

“I can breathe through my nose for the first time in like 20 years!"

Dust and mold allergies

Erika, New York

“I've noticed less sneezing and shortness of breath.”

Tree and grass allergies

Richard, Texas

I love the convenience!
‍

Tree and cat allergies

We Treat Allergies

Food Allergies

Weed Pollens

Cat Allergies

Dog Allergies

Dust Mites

Molds

Tree Pollens

curex user showing allergy treatment kit

a male patient showing allergy drops vial

50,000+ users have overcome their allergies

Am I eligible?

At-home Immunotherapy

Benefits of Curex

At-home treatment

Apply treatments in minutes from the comfort of your own home with under-the-tongue applications instead of shots or pills

5-30x higher cumulative dose vs allergy shots

Sublingual immunotherapy delivers a higher dose of allergens over the course of treatment.

Potential for results in as few as 6 months

Individual results vary but some users have reported a noticeable difference in as few as 6-12 months since starting treatments

Excellent safety profile

Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option

Treatment prescribed
by clinician

Clinicaly made allergen extracts are customized for your allergies

Your immune system gets desensitized to allergens, giving you long-term relief.

FAQs

Does Blue Shield of California Cover Trulicity

Explore why Blue Shield may deny Trulicity, learn how to secure coverage, discover costs without insurance, and find answers in our FAQ.

Achieve Your Goals Faster with Curex

Is Trulicity Covered by Blue Shield of California

Trulicity Coverage Under Blue Shield of California

Trulicity is generally covered for patients with Type 2 diabetes who meet specific criteria. It is crucial to check your individual plan details.

Coverage typically requires a prescription from a licensed healthcare provider showing medical necessity.

Prior authorization might be needed, involving documentation demonstrating that other treatments were insufficient.

There may be restrictions based on dosage and frequency, ensuring use aligns with approved medical guidelines.

Cost-sharing elements like deductibles, copayments, or coinsurance fees could apply. Verify these with your plan's summary of benefits.

Contact Blue Shield of California directly to confirm policy specifications as they may vary by plan and location.

A weight management program tailored to you

Start with Curex

Blue Shield of California's Approved Criteria for Trulicity Coverage

Trulicity Coverage Eligibility

Trulicity (dulaglutide) is covered for individuals diagnosed with Type 2 Diabetes Mellitus who require additional glycemic control.

The member has a documented intolerance, contraindication, or ineffectiveness to metformin, unless contraindicated or inappropriate for the patient.

Dosage and Administration

The approved dosing is typically Trulicity 0.75 mg or 1.5 mg administered once weekly via subcutaneous injection, as per prescription guidelines.

The prescribing physician must provide clinical documentation justifying any deviation from the standard dosing.

Reduction of Cardiovascular Risks

Trulicity is indicated to reduce the risk of major adverse cardiovascular events (MACE) in adults with Type 2 Diabetes Mellitus and established cardiovascular disease, or multiple cardiovascular risk factors.

Clinical evidence of risk reduction should be included in the patient’s medical records as part of the pre-authorization request.

Medical Necessity Documentation

A letter of medical necessity may be required, detailing the patient's medical history, prior treatments, and rationale for choosing Trulicity.

Documentation should include current HbA1c levels and target treatment outcomes.

Why Blue Shield of California Might Deny Trulicity Coverage

Scenarios Where Trulicity Coverage is Denied by Blue Shield of California

**Non-FDA Approved Uses:** Blue Shield of California may deny coverage for Trulicity if it is prescribed for purposes not approved by the FDA. This includes experimental or investigational uses that are not supported by established clinical evidence.

**Lack of Medical Necessity:** If the healthcare provider cannot demonstrate that Trulicity is medically necessary for the patient's condition, coverage can be denied. This occurs when there are other alternative treatments that are considered equally effective or more cost-effective.

**Off-Label Prescriptions:** Trulicity prescribed for conditions other than those specified by the manufacturer's label may result in denial of coverage. Blue Shield of California requires prescription alignment with medically accepted standards.

**Failure to Meet Step Therapy Requirements:** Blue Shield of California might require other medications to be tried and proven ineffective before approving Trulicity. Coverage may be denied if step therapy protocols are not followed.

**Non-Compliance with Drug Formulary:** If Trulicity is not included in the formulary or preferred drug list at the time of prescription, and there are no attempts to get it covered through exceptions, coverage may be denied.

**Policy Exclusions for Specific Plans:** Certain Blue Shield of California insurance plans may have specific exclusions regarding coverage for medications like Trulicity. If it is explicitly excluded in the member’s policy, it will not be covered.

Together with our partners we have changed the lives of over 300,000 patients.

Join Curex

How Much Does Trulicity Cost without Insurance?

Trulicity Cost Overview

Trulicity is a brand-name medication commonly used to treat type 2 diabetes. It's administered through a weekly injection.

Approximate Cost Without Insurance

The price of Trulicity can vary depending on the pharmacy or location, but the average cost for one pen of 1.5 mg/0.5 mL solution might run approximately $886 to $1,100.
Each box typically contains four pens, which is a month's supply, resulting in the total cost being roughly $3,544 to $4,400.

Factors Influencing Pricing

Pharmacy: Prices may differ from one pharmacy to another, so it’s beneficial to compare costs.
Location: Costs may vary based on geographic location due to regional pricing strategies and pharmacy benefits.
Discount Programs: Some pharmacies may offer savings programs or coupons that could lower the price.

Additional Cost-Saving Tips

Check for manufacturer discounts or patient assistance programs, which may offer significant savings or even free medication for qualified individuals.
Consider discussing alternative medications with your healthcare provider to find a more affordable option suitable for your needs.
Utilize pharmacy discount cards or look up savings programs online that specifically cater to diabetes medications.

Clinical Support

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

Jill Hamburg, PA - C

Immunotherapy made simple. We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Kayla Mardaga, NP

How to Get Trulicity Coverage with Blue Shield of California

Start with a Blue Shield of California Plan Review

Visit the Blue Shield of California website to understand the plans available. Make sure the plan covers prescription medications.

Identify any specific requirements for drug coverage, such as formularies or preferred pharmacy networks.

Confirm Trulicity is on the Formulary

Access the plan's drug formulary list, available on the Blue Shield of California website or by request from customer service.

Search for Trulicity to see if it is included. Note any specific conditions or authorization requirements.

Contact Blue Shield of California Customer Service

Call the customer service number provided on your insurance card for direct assistance and verification.

Ask about any necessary steps or documentation required to receive coverage for Trulicity.

Visit Your Healthcare Provider

Consult with your healthcare provider to ensure Trulicity is the right medication for you.

Discuss the necessity of Trulicity in your treatment plan to prepare for potential insurance queries.

Obtain Prior Authorization (if necessary)

Check if Blue Shield requires prior authorization for Trulicity. This can often be confirmed during your customer service call or through plan documents.

If required, have your healthcare provider submit the necessary documentation and prior authorization form to Blue Shield.

Submit a Formal Prescription

Ask your healthcare provider to send an electronic or written prescription to a pharmacy within the plan's network.

Ensure the pharmacy is aware that you are covered by Blue Shield of California, so they can verify coverage.

Check for Co-Payment Assistance Programs

Investigate if Trulicity offers any manufacturer savings programs or co-pay assistance options to reduce out-of-pocket costs.

Coordinate these programs with your pharmacy and insurance provider for maximum benefits.

Appeal if Denied Coverage

If coverage is denied, review the explanation of benefits for the denial reason.

Follow the appeals process outlined by Blue Shield of California, providing additional documentation if necessary.

Regularly Review Policy Updates

Frequently review changes in your insurance policy or formulary updates that might affect Trulicity coverage.

Renew any necessary authorizations or prescriptions as advised by your healthcare provider or insurance updates.

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

‍

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Trulicity FAQ

What are the common side effects of Trulicity?

Common Side Effects of Trulicity

Nausea: Initially, many patients experience nausea, which often lessens over time as the body adjusts.

Vomiting: Some individuals may experience vomiting, particularly in the first few doses.

Diarrhea: Digestive disturbances such as diarrhea are commonly reported.

Abdominal Pain: Discomfort in the abdomen can occur, often subsiding with continued use.

Decreased Appetite: Patients often report a reduction in appetite.

Fatigue: Some individuals may feel unusually tired after starting treatment.

Reduced Blood Sugar: Blood sugar levels may become low, especially when used in conjunction with other diabetes medications.

How much weight can you lose on Trulicity?

Weight Loss with Trulicity

Trulicity (dulaglutide) is primarily prescribed for managing type 2 diabetes, but many patients also experience weight loss as an additional benefit.

Clinical trials indicate an average weight loss of around 2-6 pounds, but results differ based on individual factors such as diet, exercise, and adherence to the medication.

Some users report greater weight loss; however, it's important to accompany Trulicity with lifestyle changes for optimal results.

Consult with a healthcare provider to tailor a plan that maximizes benefits based on your health needs.

How does Trulicity work for type 2 diabetes?

How Trulicity Works

Trulicity is a GLP-1 receptor agonist, helping to regulate blood sugar levels.

It stimulates insulin release in response to high blood glucose.

It slows gastric emptying, which helps reduce post-meal glucose spikes.

Trulicity suppresses glucagon secretion, lowering glucose production by the liver.

Benefits

Easy-to-use once-weekly injection, improving adherence.

Not associated with causing weight gain; may even promote modest weight loss.

May reduce risk of cardiovascular events in patients with heart disease.

Considerations

May cause gastrointestinal side effects, often resolving over time.

Inform your doctor if you have a history of pancreatitis or gallbladder disease.

Monitor for signs of low blood sugar, especially if using other diabetes medications.

Have questions left?

‍

Get a personalized online consultation with a doctor at Curex

Learn More

Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”

Becky D.

"If I could give 6 stars, I would. BEST... BEST… BEST… service.”

Ferdian K.

“The Curex staff has been professional, efficient, and really focused on my individual needs.”

Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

Button Text

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide. Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Does Blue Shield of California Cover Trulicity

Explore why Blue Shield may deny Trulicity, learn how to secure coverage, discover costs without insurance, and find answers in our FAQ.

Achieve Your Goals Faster with Curex