Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg is indicated:
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.
Who can participate in the Patient Assistance Program?
To be eligible for this program, your patient must:
- Be a US citizen or legal resident
- Have a total household income that qualifies. Visit the NeedyMeds website, which lists the current Federal Poverty Level guidelines
- Have Medicare or no insurance (Note: Patients with private or commercial insurance are not eligible for the PAP)
- Not be enrolled in or qualify for any other federal, state, or government program such as Medicaid, Medicare Low-Income Subsidy (LIS, or Extra Help Program), or Veterans Affairs (VA) Benefits
- If patients are eligible for Medicaid or Medicare LIS, they must submit a copy of their denial letter with their application.
For patients on Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg
For patients on Ozempic® pen
- Most Medicare Part D plans cover Ozempic®. Medicare beneficiaries with Part D coverage will no longer be eligible to receive Ozempic® through the Patient Assistance Program.
- Next Steps:
- Plan your spending: You also have the option of spreading your prescription costs throughout the plan year by enrolling in the Medicare Prescription Payment Plan (M3P). To learn more about this program, click here.
- Uninsured patients will still have access to Ozempic® through the Patient Assistance Program; however, their total household income must be at or below 200% of the federal poverty level.
- Resources:
- Visit NeedyMeds website which lists the current FPL guidelines for more information.
For Medicare patients on Novo Nordisk insulins
For Medicare patients on Novo Nordisk insulins
- Total household income must be at or below 400% of the federal poverty level.
- Medicare beneficiaries with a total household income below 150% of the federal poverty level must provide proof of denial for Part D Extra Help to qualify.
- Next Steps:
- For more information on how to apply for the Extra Help Program, please click here. If you will be a Medicare patient in 2026 and meet eligibility requirements for PAP, please download the application in English or Spanish to apply.
- Novo Nordisk has other programs to help make insulin affordable. Explore your options.
- Medicare resources
The resources below provide additional information about Medicare updates in 2026:
For uninsured patients on all products
For uninsured patients on all products
- Total household income must be at or below 200% of the federal poverty level for Ozempic®. For all other medications, total household income must be at or below 400% of the federal poverty level.
- Uninsured patients must provide proof of a Medicaid denial prior to enrollment in the PAP if the patient’s total household income meets their state federal poverty limit thresholds. For more information about your state’s Medicaid program, you can click here. You can also visit the NeedyMeds website which lists the current FPL guidelines for more information.
- Next Steps:
- For uninsured insulin patients, Novo Nordisk has other programs to help make insulin more affordable. Click here for insulin affordability options.
An important note about medication eligibility in 2026
Some medicines will no longer be a part of the Patient Assistance Program for 2026. Please click here to see a list of Novo Nordisk medicines that are still covered by the program.
Online PAP refill and change request application
Complete online
PDF Downloads
Questions? Call Novo Nordisk toll-free at 1‑866‑310‑7549.
Instructions for applying
HEALTH CARE PROFESSIONAL
Steps for you to follow
- Patients who are eligible for Medicaid or Medicare LIS, must submit a copy of their denial letter with their application
- Fax the completed application to 1-866-441-4190, or mail them to Novo Nordisk Inc., PO Box 370, Somerville, NJ 08876 (Important: Faxes must be sent from your office)
Note: Do not include patient medical records with this application.
- 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 and outcome
Click here for a full list of available products
Important reminders for Medicaid and Medicare enrollees
Reminders
Patients who are eligible for Medicaid or Medicare LIS must submit a copy of their denial letter with their application
Qualified Medicare patients will be enrolled in the program through December 31st of the calendar year
How to renew your patient's prescription
How to renew your patient's prescription
All new applicants will be automatically enrolled in auto refills for eligible products.a If you have a patient currently enrolled in PAP, 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 medication. Reorders can be requested by completing and submitting the Refill Request Form above 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.
aClick here for a full list of products excluded from auto refill.
Frequently asked questions
Eligibility
Who is eligible for this program?
Patients must be a US citizen or legal resident, must have a total household income at or below 400% of the federal poverty level, and must be uninsured or have Medicare. Note: Patients with private or commercial insurance are not eligible for the PAP.
My patient has Medicare Part D coverage. Do they need to spend $1000 in out-of-pocket prescription costs before they would be able to apply to the program?
No, we no longer require that Medicare Part D patients spend $1000 out-of-pocket to be eligible for the program.
Application process and approval
How long does it take to process an application?
If an application is submitted with all supporting documentation and all required fields completed, it will be processed within 2 business days. Any missing or incomplete information may cause a delay.
How will I know if my patient has been approved?
If approved, patients will receive a letter in the mail. Also, if a patient opts in for automated phone notification on the application, they will receive an automated message.
Health care providers will receive a letter via fax.
If approved, how long will my patient be enrolled in the program?
Uninsured patients are enrolled for 12 months. Medicare patients are enrolled for a calendar year.
If my patient has been approved, how long does it take to receive their medication?
Your patient's medication should arrive at your office within 10-14 business days of approval.
Medication shipment and availability
Can you ship the medication directly to my patient’s home?
Unfortunately, we are currently not able to ship directly to patients.
Can you ship the medication directly to a local pharmacy?
Unfortunately, we are currently not able to ship directly to a pharmacy.
Are you able to schedule the delivery of my patient’s medication for certain days of the week?
Unfortunately, we do not currently offer the ability to schedule delivery of your patient’s medication for certain days of the week or for a specific time of the day. Our medications ship to the prescriber and, in most cases, are delivered Monday through Friday.
How will I know when my patient’s medication has shipped?
Please keep your latest contact information up to date with us. As a courtesy, we will attempt to notify you prior to each shipment via fax. You can also use our automated phone system to obtain tracking information by calling 1‑866‑310‑7549. Patients who have opted in to our text messaging system will also receive a message via SMS.
Is the delivery/availability of my patient’s medication guaranteed?
Although we do our best to provide timely access to most program medications, their availability and delivery are not guaranteed. For example, the medications we offer are not always available on hand for delivery 365 days of the year. We typically notify the prescriber when availability or delivery of medications may be impacted.
Why did I receive less than the prescribed amount of my patient’s medication?
In certain instances, we reserve the right to adjust the quantity of medication prescribed to align with our program guidelines. For example, Medicare Part D patient enrollments expire at the conclusion of each calendar year. Therefore, approved applicants who are also enrolled with Medicare Part D may receive less than the full quantity of their prescribed medication. However, if you believe there was an error in the quantity shipped, please contact us at 1-866-310-7549.
Change of doctor or address
What should I do if I have recently relocated?
Please contact us at 1-866-310-7549 so we can update your records.
What should I do if my patient has switched doctors?
Please contact us at 1-866-310-7549 so we can provide additional direction.
Auto refill
My patient is currently enrolled in PAP and is receiving medication directly from the program. How do I opt in to get automatic refills of this medication?
Patients will be enrolled in auto refill for all eligible medications, unless you (their health care provider) have opted out. Please note: Not all medications are eligible for auto refill. Please view full list of excluded products.
Which medications are eligible to be refilled automatically?
Some medications are eligible to be refilled automatically. Please view the full list of excluded products.
I’d like to enroll a new patient in the program. How do I opt in to receive automatic refills of my patient’s medication?
If an application is submitted with all of the supporting documentation and all required fields completed, it will be processed within 2 business days. Any missing or incomplete information may cause a delay.
With your consent, subject to program guidelines, you will receive automatic refills of your patient's medication for the duration of their enrollment. Please view the full list of excluded products.
Who is ineligible for auto refill?
Maine and Minnesota residents are currently not eligible; however, we are working toward expanding this capability to Maine and Minnesota residents in the future.
My patient is on multiple medications. How do I know which medications will be refilled automatically?
All eligible prescribed medications will be refilled automatically once a patient has been fully qualified and deemed eligible for the program. Certain medications are excluded. Please view the full list of excluded products.
How often will I receive my patient’s automatic refills once I’ve opted in?
Refills will be shipped in accordance with current program guidelines. We generally do our best to automatically ship additional medication approximately 30 days prior to your patient’s medication being depleted.
What if my patient is no longer taking a medication that is being refilled automatically?
You will need to submit additional documentation allowing us to manage your request. Please call 1-866-310-7549 at your earliest convenience for additional information.
How do I notify you when I’m temporarily unavailable to receive an automatically refilled shipment of my patient’s medication?
Please call 1-866-310-7549 at your earliest convenience.
How do I opt out?
You may opt out at any time by calling 1-866-310-7549 or faxing your request in writing to 1-866-441-4190.
How much medication will ship with each refill?
This will depend on the prescribed medication. Most ship in 120-day supply increments to adequately cover the duration of an approved enrollment.
What do I do if my patient has switched doctors and I no longer oversee their current therapy?
You may opt out by calling 1-866-310-7549 or faxing your request in writing to 1-866-441-4190.
Program information
Medicare Part D
Individuals with Medicare Part D coverage may apply for next year’s PAP enrollment after October 15, 2026. Please ensure patients complete the latest version of the application available for download above.
Auto refill
The Novo Nordisk PAP offers automatic refills for some medications. All new applicants will be automatically enrolled. Please note: Not all medications are eligible for auto refill. Please view full list of excluded products
The medication will be shipped to the prescriber of an approved enrollee/applicant in accordance with current program guidelines. Auto refills terminate at the end of the patient's program enrollment period. Auto refills are managed by the prescriber. Prescribers may opt out by calling 1-866-310-7549, by faxing their request in writing to 1-866-441-4190, or by opting out on the latest application.
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