Patient Assistance Program
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to people living with hemophilia and rare bleeding disorders. This program provides medication at no cost to those who qualify.
If approved, you may qualify to receive free hemophilia and rare bleeding disorder medicine from Novo Nordisk. There is no registration charge or monthly fee for participating.
Patient Assistance Program
The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to people living with hemophilia and rare bleeding disorders. This program provides medication at no cost to those who qualify.
If approved, you may qualify to receive free hemophilia and rare bleeding disorder medicine from Novo Nordisk. There is no registration charge or monthly fee for participating.
PAP Eligibility Requirements
Eligibility requirements:
- I am a US citizen or legal resident
- My total household income is at or below 400% of the federal poverty level (FPL). Visit the NeedyMeds website, which lists the current FPL guidelines
- I do not have prescription coverage, such as an HMO or PPO, and I do not qualify for any other federal, state, or government program such as Medicare or Medicaid
- Patients who are eligible for Medicaid or Department of Veterans Affairs (VA) prescription benefits must have been denied enrollment, including exhaustion of all appeals, in order to be eligible for the PAP
- Patients who are Medicare eligible but do not have Medicare Part D coverage must have applied for and been denied the Low Income Subsidy (LIS) from the Social Security Administration (SSA). To apply for LIS, please contact the SSA at 1‑800‑772‑1213 (TTY 1‑800‑325‑0778) or go to the SSA
- I have been prescribed a Novo Nordisk factor product for an indicated condition
Questions?
Please call Novo Nordisk toll-free at 1-844-668-6732.
Questions? Please call Novo Nordisk toll-free at 1-844-668-6732.
Want to start the process?
If you are a patient, please contact NovoCare® at 1-844-668-6732.
If you are a health care provider:
STEP 1
Download and fill out the application
STEP 2
Health care provider must:
- Sign and date the application
- Fax to 1-866-488-6576; mail to 501 West Church Street, Suite 450, Orlando, FL 32805; or scan and email to hemsupport@novocaresupport.com.
- Sign and date the application
- Fax to 1-866-488-6576; mail to 501 West Church Street, Suite 450, Orlando, FL 32805; or scan and email to hemsupport@novocaresupport.com.
Please allow up to 10 business days for processing and NovoCare® will contact you.
Safe disposal program
It’s important to properly dispose of your used Novo Nordisk products.
Safe disposal program
It’s important to properly dispose of your used Novo Nordisk products.
