START & SEE Program terms and conditions:
Eligibility and Restrictions:
Pay as little as $5 for a 30-day supply of Tresiba® for up to 24 months (maximum savings of $150 per 30-day supply), and up to two (2) FreeStyle Libre 14 day sensors, provided that the patient has a valid prescription for the FreeStyle Libre system sensor. The two (2) FreeStyle Libra 14 day sensors must be redeemed within the same pharmacy claim (ie, transaction).
Eligible patients are automatically transitioned to the Novo Nordisk Diabetes Savings Card Program for Tresiba® only once the $5 copay offer is used and a second use is attempted. For the Eligibility and Restrictions and Offer Details for the Novo Nordisk Diabetes Savings Card Program, please visit novocare.com/eligibility/savings-card.html. This offer expires 12/31/20.
When you apply this offer, you are certifying that you have not submitted a claim for reimbursement under any Government Program for this prescription, or where prohibited by law. Participation in this program must comply with all applicable laws and regulations as a pharmacy provider. By participating in this program, you are certifying that you will comply with the eligibility criteria, and terms and conditions described herein. You also certify that you will not seek reimbursement for any benefit received through this offer.
Tresiba® Offer Pharmacist instructions for a patient with an Eligible Third Party:
Freestyle Libre Offer Pharmacist instructions for a patient with an Eligible Third Party:
Reference to Terms & Conditions
Patient is not eligible if he/she participates in or seeks reimbursement or submits a claim for reimbursement to any federal or state healthcare program with prescription drug coverage, such as Medicaid, Medicare, Medigap, VA, DOD, TRICARE, or any similar federal or state health care program (each a Government Program). Patient must be enrolled in a commercial insurance plan. Please see reverse of card for complete terms and conditions. For Novo Nordisk Diabetes savings card terms and conditions including offer structure for continued Tresiba® savings for eligible patients please visit novocare.com/eligibility/savings-card.html.