Eligibility and Restrictions
In order to participate in this Wegovy® NovoCare® Pharmacy cash/self-pay program, patient must have a valid prescription for Wegovy®. A valid Prescriber ID# is required on the prescription.
Patients may only participate in this cash/self-pay program if they have been prescribed Wegovy® for an FDA-approved indication within Wegovy®’s labeling.
Patients may participate in this program if they self-pay. If the patient has insurance and fulfills their prescription through this program, the transaction will process outside of any insurance. Patient payments will not count toward any deductibles and cannot be applied to a patient’s maximum out-of-pocket costs.
By using this program, patients certify that he/she meets the eligibility criteria, will comply with the terms and conditions described herein, and will not seek reimbursement or otherwise submit a claim to an insurer for any medication received through this program.
Patients participating in Medicare Part D or a Medicare Advantage prescription drug plan must agree to the following conditions:
- The patient must agree not to seek reimbursement from their Medicare Part D or Medicare Advantage prescription plan for their out-of-pocket costs for their Wegovy® prescription or count the costs of their prescription toward their deductible or True out-of-pocket (“TrOOP”) costs
- The patient must also agree to purchase all of their Wegovy® prescriptions through the program for the entire calendar year
- The patient must agree to permit Novo Nordisk to notify the patient’s Medicare Part D or Medicare Advantage prescription plan about their participation in the program
Novo Nordisk’s Eligibility and Restrictions, and Program Details, may change from time to time, and for the most recent version, please visit this webpage. Reconfirmation of patient information may be requested periodically to ensure accuracy of data and compliance with terms. Patients with questions about the program may call 1‑888‑809‑3942.
This offer is not insurance. This offer is not contingent on any past, current, or future purchase of Wegovy®. This offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer not associated with this offer. This offer is valid only in the United States and its territories, unless prohibited by law.
