- you have a critical illness caused by certain types of heart or stomach surgery, trauma or breathing (respiratory) problems
- you are a child with Prader-Willi syndrome who is severely obese or has breathing problems including sleep apnea (briefly stop breathing during sleep)
- you have cancer or other tumors
- you are allergic to somatropin or any of the ingredients in Norditropin®
- your healthcare provider tells you that you have certain types of eye problems caused by diabetes (diabetic retinopathy)
- you are a child with closed bone growth plates (epiphyses)
Growth Hormone Programs
- Sogroya® (somapacitan-beco) injection 5 mg, 10 mg, 15 mg pens
- Norditropin® (somatropin) injection 5 mg, 10 mg, 15 mg pens
Patient Assistance Program (PAP) Eligibility Requirements:
Patients who meet program eligibility criteria and financial need requirements are eligible to receive a free supply of Sogroya® or Norditropin® for up to one (1) year with requalification process to occur thirty (30) days prior to PAP expiration.
- You must be a US citizen or legal resident
- Your total household income must be at or below 400% of the federal poverty level (FPL). Visit the NeedyMeds website, which lists the current FPL guidelines
- You must have been prescribed therapy for a diagnosis that is an FDA-approved indication for Sogroya® or Norditropin®
- You cannot have or qualify for government benefit coverage, including any federal, state, or local program such as Medicare or Medicaid:
- Exceptions include:
- Government beneficiary with diagnosis or therapy exclusion
- Patients who are eligible for Department of Veterans Affairs (VA) prescription benefits or Medicaid must have applied for and been denied enrollment, including exhaustion of all appeals
- Patients who are Medicare eligible and do not have Medicare Part D coverage who have applied for and been denied Extra Help/Low Income Subsidy (LIS). To apply for LIS, please contact the Social Security Administration at 1‑800‑772‑1213 (TTY 1‑800‑325‑0778) or go to ssa.gov/benefits/medicare/prescriptionhelp/
- Exceptions include:
JumpStart™ and Interim Program Eligibility
Patients who have been prescribed a Novo Nordisk growth hormone medication for an FDA-approved indication and who have commercial insurance may be eligible to receive a limited supply of free product from JumpStart™ or the Interim Program. Please note:
- JumpStart™ is only available for patients who are prescribed Sogroya®. JumpStart™ is not available for patients who are prescribed Norditropin®
- The Interim Program is available for patients who are prescribed either Sogroya® or Norditropin®
Patients who participate in any government, state, or federally funded medical or prescription benefit programs, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance, are not eligible to participate in JumpStart™ or the Interim Program.
JumpStart™ and Interim Program product is provided at no cost to the patient or the HCP, is not contingent on any product purchase, and the patient and HCP must not: (1) bill any third party for the free product, or (2) resell the free product.