Side by side · Updated April 2026

Trulicity vs. Ozempic

Both are GLP-1 receptor agonists. Beyond that they differ in molecule, FDA indication, dose ceiling, and — most importantly to most people reading this — what the scale actually does over the long run.

Dulaglutide vs SemaglutideType 2 diabetes… vs. Type 2 diabetes…

Dulaglutide

Trulicity

GLP-1
Made by
Eli Lilly
FDA approval
September 2014
Indication
Type 2 diabetes
Dose ceiling
4.5 mg weekly
Typical loss
~3–4% body weight at 6–12 months at 4.5 mg
Cash list
$890–$1,000 list

Semaglutide

Ozempic

GLP-1
Made by
Novo Nordisk
FDA approval
December 2017
Indication
Type 2 diabetes (with later cardiovascular and CKD indications)
Dose ceiling
2.0 mg weekly
Typical loss
~6% body weight at 6–12 months in T2D patients; ~10–13% in non-diabetic off-label use at higher doses
Cash list
$950–$1,350
The honest answer

Which one actually wins

Both once-weekly GLP-1s for type 2 diabetes. Trulicity (dulaglutide) has a gentler autoinjector experience but generally produces less weight loss and smaller A1c reduction than Ozempic at maximum doses. Trulicity wins on injection comfort; Ozempic wins on raw efficacy.

Side by side

Trulicity vs Ozempic, ten metrics

Molecule

TrulicityDulaglutide

OzempicSemaglutide

Receptor(s)

TrulicityGLP-1

OzempicGLP-1

Manufacturer

TrulicityEli Lilly

OzempicNovo Nordisk

FDA approval

TrulicitySeptember 2014

OzempicDecember 2017

Indication

TrulicityType 2 diabetes

OzempicType 2 diabetes (with later cardiovascular and CKD indications)

Delivery

TrulicitySubcutaneous injection, once weekly

OzempicSubcutaneous injection, once weekly

Dose ceiling

Trulicity4.5 mg weekly

Ozempic2.0 mg weekly

Titration

TrulicityMaintenance from 0.75 mg; titration optional

Ozempic4 weeks per step

Typical loss

Trulicity~3–4% body weight at 6–12 months at 4.5 mg

Ozempic~6% body weight at 6–12 months in T2D patients; ~10–13% in non-diabetic off-label use at higher doses

Cash list

Trulicity$890–$1,000 list

Ozempic$950–$1,350

On patent until

Trulicity2027 (with composition extensions)

Ozempic2031 (US composition of matter)

Where to get it

Providers offering Dulaglutide or Semaglutide

Full provider table →
Hims

Compounded GLP-1 with brand recognition and same-week shipping.

$199–299 /mo

Visit
Ro Body

Branded GLP-1 access with insurance navigation built in.

$145–1349 /mo

Visit
Mochi Health

Behavioral-first program with in-network insurance support.

$79–459 /mo

Visit
Henry Meds

Subscription compounded GLP-1 with one of the lowest sticker prices.

$247–369 /mo

Visit
Future Health Vitality

Tirzepatide-first program leaning into compounded supply.

$349–549 /mo

Visit
Real journeys

What the scale actually does