my99insulin | NovoCare®

My$99Insulin

All patients may be eligible to 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.

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

All patients may be eligible to 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.

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 are enrolled in a Medicare Part D prescription drug plan, please call 1-888-910-0446 to complete your enrollment. All other patients may complete the form below.