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Byetta vs Trulicity

Compare Byetta and Trulicity on active ingredient, dosing schedule, FDA-approved use and pharmacy acquisition cost.

By Sam Reed · Founder and data leadVerified Feb 11, 2026

Byetta

AstraZeneca

Active ingredient
Exenatide
Form
INJECTION
FDA-approved for
Type 2 diabetes
$816
lowest package, pharmacy acquisition cost

Trulicity

Eli Lilly

Active ingredient
Dulaglutide
Form
INJECTION, SOLUTION
FDA-approved for
Type 2 diabetes, Cardiovascular risk reduction
$975
lowest package, pharmacy acquisition cost

The short answer

Byetta contains Exenatide and Trulicity contains Dulaglutide. These are different molecules, so their dosing and clinical evidence differ.

Side by side

Costs are what a pharmacy pays to acquire each product, from CMS NADAC. Not a retail price, and not what you would pay.

Byetta
Trulicity
Lowest package cost
$816
$975
Active ingredient
Exenatide
Dulaglutide
Manufacturer
AstraZeneca
Eli Lilly
Form
INJECTION
INJECTION, SOLUTION
FDA-approved for
Type 2 diabetes
Type 2 diabetes, Cardiovascular risk reduction
= better value on that rowScroll sideways on small screens — the first column stays pinned
Keep comparing
Data sources · cited with retrieval dates
  • CMS NADACNational Average Drug Acquisition Cost, weekly fileretrieved Feb 11, 2026
  • CMS Medicare Part DPrescriber public use file, by geography and drugretrieved Feb 11, 2026
  • CMS State Drug UtilizationQuarterly Medicaid prescription and reimbursement dataretrieved Feb 11, 2026

NADAC figures are pharmacy acquisition costs, not retail prices and not what you will pay. This content is educational and is not medical advice.