Patient Assistance Program
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to people living with diabetes. The Novo Nordisk PAP provides medication at no cost to those who qualify. There is no registration charge or monthly fee for participating.
Click here for a list of Novo Nordisk products covered by the PAP.
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to people living with diabetes. The Novo Nordisk PAP provides medication at no cost to those who qualify. There is no registration charge or monthly fee for participating.
Click here for a list of Novo Nordisk products covered by the PAP.
If you have a patient who has lost health insurance coverage because of a change in job status due to COVID-19, they may be eligible for a free 90-day supply of insulin. See required documentation below.
See if a patient qualifies for the PAP
Eligibility requirements:
Documentation required for patients affected by COVID-19:
If approved, your patient will receive a free 90-day supply of insulin. Novo Nordisk will check back with them (before their 90-day enrollment ends) to determine continued eligibility. Assistance can be extended to the end of 2020 for otherwise eligible patients who have been denied Medicaid coverage.
Questions?
Please call Novo Nordisk toll-free at 1-866-310-7549.
How to apply
Steps for your patient to follow:
Steps for you as the health care professional to follow:
Reminders:
After the application is reviewed, you and your patient will be informed of the decision. If approved, an initial 120-day supply of medicine will be sent to your office, where your patient can pick it up. Please allow up to 10 business days for processing.
Click here for a full list of available products.
How to renew your patient's prescription
You will receive a reorder reminder from Novo Nordisk before your patient is due for a refill. You will need to place a reorder during the calendar year for which your patient has been approved to receive medicine. Reorders can be requested by completing and submitting the Refill Request Form below or by calling Novo Nordisk toll-free at 1-866-310-7549.
Patients can renew each year for as long as they qualify. For uninsured patients, an approved application is valid for 12 months. For patients with Medicare Part D coverage, an approved application is valid for the benefit year only. Some restrictions may apply.
Novo Nordisk reserves the right to modify or cancel this program at any time without notice.
Patient Assistance Program Forms
Connect patients to low-cost insulin options
Learn about low-cost insulin options that may be more affordable, especially for those without insurance or with high-deductible health insurance plans.
Patients can get help with diabetes management
Help patients discover tools and resources tailored to their needs at Cornerstones4Care.com.
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Novo Nordisk is a registered trademark of Novo Nordisk A/S.
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