The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to our patients. 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 our patients. 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 our Novo Nordisk products covered by the PAP.
Please select one product here. If your patient is applying for multiple products, they will be able to do so during the application process.
Please select one product here. If your patient is applying for multiple products, they will be able to do so during the application process.
The Urgent Need Program is meant for patients who have less than 7 days of insulin remaining. The Continuing Need Program is for all other applicants.
The Urgent Need Program is meant for patients who have less than 7 days of insulin remaining. The Continuing Need Program is for all other applicants.
To be eligible for this program, your patient must:
See the frequently asked questions below or call Novo Nordisk toll-free at 1‑866‑310‑7549.
PATIENT
HEALTH CARE PROFESSIONAL
Note: Do not include patient medical records with this application.
Click here for a full list of available products.
All new applicants will be automatically enrolled in auto refills. 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 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.
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.
No, we no longer require that Medicare Part D patients spend $1000 out of pocket to be eligible for the program.
Applying online can be fast and easy for your patients. They'll be guided through a step-by-step process that tells them what to do next, with simple questions and answers. However, if your patient doesn't have internet access or is simply more comfortable applying by paper, this is also a great option.
Please note: Patients who speak Spanish will need to use the paper/PDF format.
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.
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.
Uninsured patients are enrolled for 12 months. Medicare patients are enrolled for a calendar year.
Your patient's medication should arrive at your office within 10-14 business days of approval.
Unfortunately, we are currently not able to ship directly to patients.
Unfortunately, we are currently not able to ship directly to a pharmacy.
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.
Please keep your latest contact information up to date with us and, 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.
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.
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 that 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.
Please contact us at 1-866-310-7549 so we can update your records.
Please contact us at 1-866-310-7549 so we can provide additional direction.
Auto-refill is currently available for new applicants only.
Please complete the latest enrollment form available in the "Patient Assistance Program forms" section above. 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.
Minnesota residents are currently not eligible; however, we are working toward expanding this capability to Minnesota residents in the future.
Most qualify; however, some products are excluded based on certain restrictions or program guidelines. For additional information, please review the latest application or call 1-866-310-7549.
All eligible prescribed medications will be refilled automatically once a patient has been fully qualified and deemed eligible for the program. Certain products are excluded. For a list of excluded products, please review the latest application or call 1-866-310-7549.
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.
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.
Please call 1-866-310-7549 at your earliest convenience.
You may opt out at any time by calling 1-866-310-7549 or faxing your request in writing to 1-866-441-4190.
This will depend on the prescribed medication. Most ship in 120-day supply increments to adequately cover the duration of an approved enrollment.
You may opt out by calling 1-866-310-7549 or faxing your request in writing to 1-866-441-4190.
Individuals with Medicare Part D coverage may apply for 2023 PAP enrollment after October 15th, 2022. Please ensure patients complete the latest version of the application available online or for download above. Be sure to enter the correct enrollment year when completing the Medicare Part D Enrollment Consent.
For added convenience and at the direction of the prescriber, the Novo Nordisk PAP now offers automatic refills for most medications. All new applicants will be automatically enrolled. The medication will ship to the prescriber of an approved enrollee/applicant in accordance with current program guidelines with minimal involvement on behalf of the prescriber. 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.
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
PATIENT
HEALTH CARE PROFESSIONAL
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped directly to the patient's residence as listed on the application. Someone will reach out to the patient directly to schedule a time for delivery.
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped directly to the patient's residence as listed on the application. Someone will reach out to the patient directly to schedule a time for delivery.
NOTE: If your patient is applying for both insulin and GLP-1, complete the general PAP application (click here) and include both medications in the Rx section.
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
If you are a pharmacist in the state of Minnesota, contact 1-833-538-0027
If you are a pharmacist in the state of Minnesota, contact 1‑833‑538‑0027
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
PATIENT
HEALTH CARE PROFESSIONAL
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped directly to the patient's residence as listed on the application. Someone will reach out to the patient directly to schedule a time for delivery.
Patients and prescribers will be notified of the decision by mail. If approved, a 120-day supply of insulin will be shipped directly to the patient's residence as listed on the application. Someone will reach out to the patient directly to schedule a time for delivery.
NOTE: If your patient is applying for both insulin and GLP-1, complete the general PAP application (click here) and include both medications in the Rx section.
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
If you are a pharmacist in the state of Maine, contact 1-833-538-0027
If you are a pharmacist in the state of Maine, contact 1‑833‑538‑0027
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
If you are a pharmacist in the state of Colorado, contact 1-833-538-0027
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
To be eligible for this program, your patient must:
Call Novo Nordisk toll-free at 1-866-310-7549.
Call Novo Nordisk toll-free at 1-866-310-7549.
If you are a pharmacist in the state of Colorado, contact 1-833-538-0027
If you are a pharmacist in the state of Colorado, contact 1‑833‑538‑0027
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