My$99Insulin

Eligible patients pay $99 for a monthly supply of any combination of Novo Nordisk insulin products (up to 3 vials or 2 packs of pens). Offer is available each month during a calendar year. This cost does not apply to any insurance deductible you may have.Register below to receive a card that you can download, save, and print. This card can be redeemed at most retail pharmacies and may be used to fill your monthly supply of insulin.

If you are uninsured or have commercial insurance and want to register via text to receive your My$99Insulin Card, text MY99 to 24177 to sign up.b,c

aSee terms and conditions for details.
bSee terms and conditions of use.
cMessage and data rates may apply. Check with your mobile service provider. Message frequency will be based on your selections. Text HELP to 24177 for help. Text STOP to 24177 to quit.

My$99Insulin

Eligible patients pay $99 for a monthly supply of any combination of Novo Nordisk insulin products (up to 3 vials or 2 packs of pens). Offer is available each month during a calendar year. This cost does not apply to any insurance deductible you may have.a Register below to receive a card that you can download, save, and print. This card can be redeemed at most retail pharmacies and may be used to fill your monthly supply of insulin.

If you are uninsured or have commercial insurance and want to register via text to receive your My$99Insulin Card, text MY99 to 24177 to sign up.b,c

aSee terms and conditions for details.
bSee terms and conditions of use.
cMessage and data rates may apply. Check with your mobile service provider. Message frequency will be based on your selections. Text HELP to 24177 for help. Text STOP to 24177 to quit.

If you have Medicare Part D and did not use My$99Insulin in 2021, you are not eligible to participate in My$99Insulin in 2022.

If you had Medicare Part D coverage and were enrolled in the My$99Insulin offer in 2021 and wish to re-enroll in 2022, please call 1-833-793-1861 between the hours of 9:00 am and 5:30 pm ET.  Please note that you will need to re-enroll by March 31, 2022. Please have your current Medicare Part D prescription insurance card and your 2021 My$99Insulin savings card on hand to enroll.

Everyone else, please complete the form below.

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© 2022 Novo Nordisk  All rights reserved. US21NC00028  January 2022